MEDICARE: MS. SONDRA KAY WILKINSON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-12392	AZ
2	101YP2500X	Professional Counselor	LPC3381	TN

General Provider Information

NPI Number	:	1265584478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONDRA KAY WILKINSON LPC

Provider Business Mailing Address
First Line	:	214 NORCROSS DR
Second Line	:	#47F
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-4187
Country	:	US
Telephone Number	:	623-205-4450
Fax Number	:

Provider Business Practice Location Address
First Line	:	8848 CEDAR SPRINGS LANE
Second Line	:	SUITE 201
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5416
Country	:	US
Telephone Number	:	865-212-6600
Fax Number	:	865-313-2149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	09/14/2015

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