Individual provider · Type 1 NPI

Raven Wilkerson

Mental Health Counselor · Bangor, PA

NPI number 1811768047 Active

Practice location

51 Market St
Bangor, PA 18013-1901

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1811768047

Raven Wilkerson's National Provider Identifier is 1811768047, issued on Jan 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bangor, PA. The record was last updated on Jan 16, 2024.