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NPI Code Detail

MEDICARE: WESLEY WILKES LPC

MEDICARE: WESLEY WILKES 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
1101Y00000XCounselor2059AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151510660OTHERALBCBS

General Provider Information

NPI Number : 1598710956
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY WILKES LPC
Provider Business Mailing Address
First Line : 3000 SOUTHLAKE PARK
Second Line : SUITE 100
City : BIRMINGHAM
State : AL
Zip : 35244-3608
Country : US
Telephone Number : 205-987-0724
Fax Number : 205-987-0725
Provider Business Practice Location Address
First Line : 3000 SOUTHLAKE PARK
Second Line : SUITE 100
City : BIRMINGHAM
State : AL
Zip : 35244-3608
Country : US
Telephone Number : 205-987-0724
Fax Number : 205-987-0725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 12/21/2022

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Directions to “ WESLEY WILKES LPC” Practice Location

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