person
Mr. Wayne A Wilcken, MS
Mental Health Counselor in Gallup, New Mexico
NPI 1528272259

Wayne A Wilcken is a Mental Health Counselor based in Gallup, NM and is specialized in Mental Health. Wayne A Wilcken practices in Gallup, NM and has the professional credentials of MS. The NPI Number for Wayne A Wilcken is 1528272259 and holds a License No. 3215 (New Mexico).

The current practice location address for Wayne A Wilcken is 2025 E Aztec Ave, Gallup, NM and can be reached out via phone at 505-863-3828 and via fax at 505-863-6612.

Location: 2025 E Aztec Ave, Gallup, NM, 87301-5024
person
Provider Profile Details
NPI Number
1528272259
Provider Name
Wayne A Wilcken
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
2025 E Aztec Ave, Gallup, NM, 87301-5024
Phone Number
505-863-3828
Fax Number
505-863-6612
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 E Aztec Ave
City
State
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-863-6612
person
Provider Business Mailing Address Details
Address
2025 E Aztec Ave
City
State
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-863-6612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3215 (New Mexico)
Definition
Definition to come...
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