Individual
JESSICA LYNN WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
835 CENTRAL AVE, ASHLAND, KY 41101-7423
(606) 547-4400
(606) 547-4180
Mailing address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
(606) 928-1056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104769
KY
101Y00000X
Counselor
KY-1660
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000732494
ANTHEM BCBS
—
05
—
7100283520
—
KY
Enumeration date
08/17/2011
Last updated
05/11/2023
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