Provider Demographics
NPI:1821335605
Name:WILKENS, VIVIANE RANGEL (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:VIVIANE
Middle Name:RANGEL
Last Name:WILKENS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4705
Mailing Address - Country:US
Mailing Address - Phone:908-328-6886
Mailing Address - Fax:
Practice Address - Street 1:15 FARVIEW DR
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4705
Practice Address - Country:US
Practice Address - Phone:908-328-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00445200101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor