Provider Demographics
NPI:1073498499
Name:WILKINS, ZACHARIAH (LCPC-C)
Entity type:Individual
Prefix:
First Name:ZACHARIAH
Middle Name:
Last Name:WILKINS
Suffix:
Gender:M
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 CONGRESS ST STE 534
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-5363
Mailing Address - Country:US
Mailing Address - Phone:781-269-2294
Mailing Address - Fax:
Practice Address - Street 1:615 CONGRESS ST STE 534
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-5363
Practice Address - Country:US
Practice Address - Phone:781-269-2294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL8065101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health