person
Dr. Dom Wilks, PHD
Addiction (Substance Use Disorder) Counselor in Jackson, Wyoming
NPI 1518296433

Dom Wilks is an Addiction (Substance Use Disorder) Counselor based in Jackson, WY and is specialized in Addiction (Substance Use Disorder). Dom Wilks practices in Jackson, WY and has the professional credentials of PHD. The NPI Number for Dom Wilks is 1518296433 and holds a License No. LAT-297 (Wyoming).

The current practice location address for Dom Wilks is 610 W. Broadway Suites, Jackson, WY and can be reached out via phone at 307-733-3908 and via fax at 307-734-0017. You can also correspond with Dom Wilks through the mailing address at PO BOX 11390, JACKSON, WY - 83002-1390 (mailing address contact number: 307-733-3908).

Location: 610 W. Broadway Suites, Jackson, WY, 83002-1390
person
Provider Profile Details
NPI Number
1518296433
Provider Name
Dom Wilks
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
610 W. Broadway Suites, Jackson, WY, 83002-1390
Phone Number
307-733-3908
Fax Number
307-734-0017
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
610 W. Broadway Suites
City
State
Zip
83001
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider Business Mailing Address Details
Address
610 W. Broadway Suites
City
State
Zip
83001
Phone Number
307-733-3908
Fax Number
307-734-0017
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAT-297 (Wyoming)
Definition
Definition to come...
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