Individual
LA TOYA WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC-INTERN
Contact information
Practice address
30 VIA MANTOVA, HENDERSON, NV 89011-2264
(702) 710-6994
Mailing address
30 VIA MANTOVA UNIT 302, HENDERSON, NV 89011-2267
(702) 328-1696
(702) 360-0031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5257
NV
Other
Enumeration date
06/02/2014
Last updated
10/08/2023
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