Individual
ROBERT SHAWN WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
834 FALLS AVE STE 1280, TWIN FALLS, ID 83301-3364
(208) 736-9990
(208) 736-9995
Mailing address
834 FALLS AVE STE 1280, TWIN FALLS, ID 83301-3364
(208) 736-9990
(208) 736-9995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-4205
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806775900
—
ID
Enumeration date
05/12/2010
Last updated
05/12/2010
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