Provider Demographics
NPI:1588992689
Name:WILKINS, THOMAS WEYERS (LCMHC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:WEYERS
Last Name:WILKINS
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 STATE ROUTE 114
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03221-3715
Mailing Address - Country:US
Mailing Address - Phone:603-938-6019
Mailing Address - Fax:
Practice Address - Street 1:3103 STATE ROUTE 114
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:NH
Practice Address - Zip Code:03221-3715
Practice Address - Country:US
Practice Address - Phone:603-938-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health