Individual
GINA WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 YOUNG DR, STANHOPE, NJ 07874-2701
(973) 866-5405
Mailing address
9 YOUNG DR, STANHOPE, NJ 07874-2701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00236500
NJ
101YP2500X
Professional Counselor
Primary
37PC00652700
NJ
Other
Enumeration date
05/14/2019
Last updated
03/23/2023
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