Individual provider · Type 1 NPI
Kenneth D. Wilson, LMHCA, CDP
Mental Health Counselor · Bremerton, WA
NPI number
1629260344
Active
Practice location
915 Nipsic Ave
Bremerton, WA 98310-4837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC60694550 (WA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60361555 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1629260344
Kenneth D. Wilson, LMHCA, CDP's National Provider Identifier is 1629260344, issued on Aug 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bremerton, WA. The record was last updated on Jan 2, 2017.