Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanicqwa Wilkerson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639056419

Tanicqwa Wilkerson is an Addiction (Substance Use Disorder) Counselor in Warren, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
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Practice location Address checks out

2737 Youngstown Rd SE
Warren, OH 44484-5002
Phone: (330) 369-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4930 Enterprise Dr Nw, Warren, OH 44481-8706 — (330) 369-8022

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.193441 (OH)

Record details

NPI number1639056419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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