Individual provider · Type 1 NPI

Kevin Wilson, LAC

Mental Health Counselor · Wall Township, NJ

NPI number 1528861069 Active

Practice location

1350 Campus Pkwy Ste 101
Wall Township, NJ 07753-6841

Call (732) 924-5589 Map

Mailing address

25 Bretonian Dr
Brick, NJ 08723-5763

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00772000 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1528861069

Kevin Wilson, LAC's National Provider Identifier is 1528861069, issued on Mar 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wall Township, NJ. The record was last updated on Mar 31, 2025.