Individual
SONDRA WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1678 OAKLAWN DR STE A, PRESCOTT, AZ 86305-1109
(928) 708-0108
Mailing address
1678 OAKLAWN DR STE A, PRESCOTT, AZ 86305-1109
(928) 708-0108
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63121
AHCCCS
AZ
Enumeration date
01/25/2008
Last updated
01/25/2008
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