Wilkerson, Kristina

Wilkerson, Kristina is an sole proprietor health care provider with primary practice located at 14 Health Services Dr C/O Family Service Agency Of Dekalb County, Dekalb IL 60115-9637. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wilkerson, Kristina can be contacted via phone (815) 758-8616.

Contact Information

Primary practice address
14 Health Services Dr C/O Family Service Agency Of Dekalb County Dekalb IL 60115-9637
Phone: (815) 758-8616
Fax: (815) 758-8159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1602498500 Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X 178012552 Illinois

Profile Details

NPI number 1396018024
LBN Legal business name Wilkerson, Kristina
Credentials QMHA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Feb 23rd, 2017 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1396018024 NPPES
Nevada Other 1602498500 STATE
Nevada Other 178012552 STATE

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