Individual provider · Type 1 NPI

Gordon Bruce Wilson, LCSW

Mental Health Counselor · Kingston, PA

NPI number 1477793271 Active

Practice location

562 Wyoming Ave
Kingston, PA 18704-3721

Fax (570) 552-3765

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCWO13852 (PA)

Mental Health Counselor: Definition to come...

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About NPI 1477793271

Gordon Bruce Wilson, LCSW's National Provider Identifier is 1477793271, issued on Mar 6, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kingston, PA. The record was last updated on Mar 6, 2009.