| Jonathan Wilks, Lcsw, Llc | |
|
4300 Woodrose Rd Nw Albuquerque NM 87114-5578 | |
| (505) 553-6110 | |
| Not Available |
| Full Name | Jonathan Wilks, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4300 Woodrose Rd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jonathan Daniel Wilks (OWNER) |
| Authorized Official Contact | 5055536110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Wilks, Lcsw, Llc 4300 Woodrose Rd Nw Albuquerque NM 87114-5578 Ph: (505) 553-6110 | Jonathan Wilks, Lcsw, Llc 4300 Woodrose Rd Nw Albuquerque NM 87114-5578 Ph: (505) 553-6110 |
| NPI Number | 1164047841 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 05/28/2022 |
| Certification Date | 05/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164047841 | NPI | - | NPPES |
| 08027242 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
News Archive
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› Verified 7 days ago
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