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Individual

DANA MARIE WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
20838 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7241
(434) 473-7458
(434) 382-0699
Mailing address
412 RUNNER STONE DR, EVINGTON, VA 24550-4330
(434) 660-3902

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005600
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701005600
LICENSE FOR VIRGINIA BOARD OF COUNSELING
VA
Enumeration date
10/01/2013
Last updated
10/01/2013
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