Individual provider · Type 1 NPI

Traci Wilds

Mental Health Counselor · Penndel, PA

NPI number 1063742260 Active

Practice location

1517 Durham Rd
Penndel, PA 19047-5707

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1063742260

Traci Wilds's National Provider Identifier is 1063742260, issued on Jan 11, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Penndel, PA. The record was last updated on Jan 11, 2010.