Individual
BRENDA S. WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAC III
Contact information
Practice address
1627 PROSPECT ESTATES DR, ESTES PARK, CO 80517-7203
(970) 586-9105
(970) 586-9491
Mailing address
1627 PROSPECT ESTATES DR, ESTES PARK, CO 80517-7203
(970) 577-0635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6196
CO
1041C0700X
Clinical Social Worker
Primary
992923
CO
Other
Enumeration date
08/30/2006
Last updated
04/25/2010
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