Provider Demographics
NPI:1033411020
Name:WILKERSON, JESSICA DARLING (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DARLING
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:PAMELA
Other - Last Name:DARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:468 MANZANITA AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1358
Mailing Address - Country:US
Mailing Address - Phone:530-994-5114
Mailing Address - Fax:530-809-0529
Practice Address - Street 1:468 MANZANITA AVE STE 7
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1358
Practice Address - Country:US
Practice Address - Phone:530-994-5114
Practice Address - Fax:530-809-0529
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CA104464106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker