Wilkerson, Jessica Bradley
Wilkerson, Jessica Bradley is an individual health care provider with primary practice located at 305 S Broadway Ave Ste 200 , Tyler TX 75702-7344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilkerson, Jessica Bradley can be contacted via phone (903) 939-9010.Contact Information
Primary practice address
305 S Broadway Ave Ste 200
Tyler TX 75702-7344
Phone: (903) 939-9010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5712 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107536 | Texas |
Profile Details
| NPI number | 1346494366 |
|---|---|
| LBN Legal business name | Wilkerson, Jessica Bradley |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2008 |
| Last updated | May 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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