Individual
MR. ANDRE LAMOND WILKES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUD REG COUNSELOR
Contact information
Practice address
2035 FAIRMONT DR, SAN LEANDRO, CA 94578-1088
(510) 346-7832
Mailing address
50 AUSTIN AVE APT 713, HAYWARD, CA 94544-8505
(510) 470-2046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12252
CA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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