Individual
ASHLEY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 RIO GRANDE BLVD NW, ALBUQUERQUE, NM 87104-2529
(505) 830-1871
Mailing address
54 DEREK RD, SANDIA PARK, NM 87047-9340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0216491
NM
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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