Provider Demographics
NPI:1891819728
Name:WILKINS, BARBARA ELLEN (MFT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ELLEN
Last Name:WILKINS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20162
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94820-0162
Mailing Address - Country:US
Mailing Address - Phone:510-323-5866
Mailing Address - Fax:
Practice Address - Street 1:2150 APPIAN WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2583
Practice Address - Country:US
Practice Address - Phone:510-323-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist