Individual
ANA WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 N 94TH DR STE M1, PEORIA, AZ 85381-4247
(623) 974-3333
Mailing address
9524 N 173RD AVE, WADDELL, AZ 85355-9703
(623) 377-6982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18814
AZ
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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