Provider Demographics
NPI:1881770238
Name:WILKING, BRENDA (MA, LPC, CAC III)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:WILKING
Suffix:
Gender:F
Credentials:MA, LPC, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 E 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-8426
Mailing Address - Country:US
Mailing Address - Phone:303-465-2033
Mailing Address - Fax:303-458-1059
Practice Address - Street 1:7601 E 130TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-8426
Practice Address - Country:US
Practice Address - Phone:303-465-2033
Practice Address - Fax:303-458-1059
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional