Individual
IJALE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 BEHRMAN HWY, GRETNA, LA 70056-4547
(504) 392-4027
Mailing address
3704 MORRISWOOD DR, HARVEY, LA 70058-1931
(504) 255-6362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
COUNSELOR
LA
Enumeration date
10/05/2015
Last updated
12/22/2022
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