| Wilks Counseling Llc | |
|
3612 Chatham Dr Columbia MO 65203-5638 | |
| (573) 673-1183 | |
| Not Available |
| Full Name | Wilks Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3612 Chatham Dr, Columbia, Missouri |
| Authorized Official Name and Position | Abram Dillon Wilks (OWNER) |
| Authorized Official Contact | 5736731183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilks Counseling Llc 3612 Chatham Dr Columbia MO 65203-5638 Ph: (573) 673-1183 | Wilks Counseling Llc 3612 Chatham Dr Columbia MO 65203-5638 Ph: (573) 673-1183 |
| NPI Number | 1841919990 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 9537510953 |
|---|---|
| Medicare Enrollment ID | O20240110003627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841919990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abram Dillon Wilks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831382613 PECOS PAC ID: 0446439293 Enrollment ID: I20110125000964 |
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