Organization
EMPACT-SPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. SONDRA KAY WILKINSON MC, NCC, LISAC, LPC (FAMILY THERAPIST)
(480) 784-1514
Entity
Organization
Contact information
Practice address
4425 W OLIVE AVE, SUITE 194, GLENDALE, AZ 85302-3843
(480) 784-1514
Mailing address
6629 N 90TH DR, GLENDALE, AZ 85305-2043
(623) 872-7468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-12392
AZ
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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