| Brenda Wilking, MA, LPC, CAC III | |
|
7601 E 130th Ave, Thornton, CO 80602-8426 | |
| (303) 465-2033 | |
| (303) 458-1059 |
| Full Name | Brenda Wilking |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7601 E 130th Ave, Thornton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881770238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Wilking, MA, LPC, CAC III 7601 E 130th Ave, Thornton, CO 80602-8426 Ph: (303) 465-2033 | Brenda Wilking, MA, LPC, CAC III 7601 E 130th Ave, Thornton, CO 80602-8426 Ph: (303) 465-2033 |
Tiffany T Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Julia Matamoros, Counselor Medicare: Medicare Enrolled Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Stefanie Turk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Tara Lynn Hefty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 | |
Anne Hadaway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3540 | |
Marie George, CPG Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3654 | |
Paul Wozniak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8931 Huron St, Thornton, CO 80260 Phone: 303-853-3500 |