Individual
GARY N WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
33 BOUNDARY AVE, ONANCOCK, VA 23417
(267) 258-3894
(757) 709-7052
Mailing address
33 BOUNDARY AVE, ONANCOCK, VA 23417
(267) 258-3894
(757) 709-7052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000262
VA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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