Individual
DR. ALLEN A. WILKES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., CASAC
Contact information
Practice address
19 W 34TH ST, PENTHOUSE, NEW YORK, NY 10001-3006
(212) 947-7111
(212) 982-8807
Mailing address
PO BOX 450, NEW YORK, NY 10009-0450
(212) 982-8807
(212) 982-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12638
NY
103TC0700X
Clinical Psychologist
Primary
014078
NY
Other
Enumeration date
09/26/2006
Last updated
05/10/2009
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