SearchIdaho1041C0700X

Tina Wilkerson, LCSW

NPI 1508290115 · on the registry since 2013

Practice

Address
310 W Union St
Boise, ID 83702
Phone
(208) 830-8655

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho