Provider Demographics
NPI:1386783793
Name:WILKENING, SHARON LOUISE (LPC, LCAS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LOUISE
Last Name:WILKENING
Suffix:
Gender:F
Credentials:LPC, LCAS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 BALLY SHANNON WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539
Mailing Address - Country:US
Mailing Address - Phone:315-523-0403
Mailing Address - Fax:
Practice Address - Street 1:1020 SOUTHHILL DRIVE
Practice Address - Street 2:SUITE 355
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:315-523-0403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000799101YM0800X
NCLCAS103TA0400X
NYLMHC103TC1900X
NCLPC103TC1900X
NC13112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling