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Individual

MRS. AMELIA MADELYN WILKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, CAP

Contact information

Practice address
708 E. COLONIAL DR., SUITE 201, ORLANDO, FL 32803
(407) 212-7518
Mailing address
7901 4TH ST. N, SUITE 300, ST. PETERSBURG, FL 33702
(509) 768-2249

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP0005497
FL
101YM0800X
Mental Health Counselor
Primary
MH10530
FL

Other

Enumeration date
12/19/2008
Last updated
02/21/2025
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