Wilkinson, Jason Dean

Wilkinson, Jason Dean is an individual health care provider with primary practice located at 3901 Chrysler Dr Ste 1A , Detroit MI 48201-2167. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilkinson, Jason Dean can be contacted via phone (313) 577-1396.

Contact Information

Primary practice address
3901 Chrysler Dr Ste 1A Detroit MI 48201-2167
Phone: (313) 577-1396
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6401007299 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401007299 Michigan

Profile Details

NPI number 1316071442
LBN Legal business name Wilkinson, Jason Dean
Credentials LPC, MA LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 25th, 2020 - about 4 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 1316071442 NPPES
Michigan MEDICAID 213119549

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