Provider Demographics
NPI:1639404494
Name:WILKINS, DEANNA S (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:S
Last Name:WILKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 COAL FIRE CIR
Mailing Address - Street 2:
Mailing Address - City:REFORM
Mailing Address - State:AL
Mailing Address - Zip Code:35481-2941
Mailing Address - Country:US
Mailing Address - Phone:205-310-8491
Mailing Address - Fax:
Practice Address - Street 1:258 COAL FIRE CIR
Practice Address - Street 2:
Practice Address - City:REFORM
Practice Address - State:AL
Practice Address - Zip Code:35481-2941
Practice Address - Country:US
Practice Address - Phone:205-310-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1453101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor