Organization
IDENTITY COUNSELING PSYCHOLOGY PLLC
Active
Other names
Wilkins Counseling Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WILKINS (LPC)
(734) 645-8944
Entity
Organization
Contact information
Practice address
2350 WASHTENAW AVE STE 4, ANN ARBOR, MI 48104
(734) 645-8944
(734) 645-8944
Mailing address
2350 WASHTENAW AVE STE 4, ANN ARBOR, MI 48104-4525
(734) 645-8944
(734) 645-8944
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/01/2018
Last updated
08/17/2018
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