Individual provider · Type 1 NPI

Angela Wilkerson, LCDC-I

Addiction (Substance Use Disorder) Counselor · Lubbock, TX

NPI number 1417468968 Active

Practice location

1705 N FM 179
Lubbock, TX 79416-9441

Fax (806) 780-8383

Mailing address

1715 26th St
Lubbock, TX 79411-1524

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X30139 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417468968

Angela Wilkerson, LCDC-I's National Provider Identifier is 1417468968, issued on Oct 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lubbock, TX. The record was last updated on Oct 30, 2017.