Individual
AMBER KENLEY WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CADC I, SUDP
Contact information
Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 464-1570
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 464-1570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-06-42
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CK61635927
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/08/2022
Last updated
02/17/2025
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