Individual provider · Type 1 NPI

Kendricke Duvaughn Wilson

Addiction (Substance Use Disorder) Counselor · Rockaway, NJ

NPI number 1053160820 Active

Practice location

25 W Main St Ste A
Rockaway, NJ 07866-3435

Call (973) 625-1998 Map

Fax (973) 625-8048

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053160820

Kendricke Duvaughn Wilson's National Provider Identifier is 1053160820, issued on May 15, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockaway, NJ. The record was last updated on May 15, 2024.