Healthcare Provider Details

I. General information

NPI: 1467104885
Provider Name (Legal Business Name): VALERIE WILKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PENNSYLVANIA AVE SE STE 440
WASHINGTON DC
20003-4424
US

IV. Provider business mailing address

3313 SIR THOMAS DR APT 33
SILVER SPRING MD
20904-4846
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-5440
  • Fax: 202-544-3004
Mailing address:
  • Phone: 240-383-7631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200002345
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: