Individual provider · Type 1 NPI
Kelly J. Wilt, LPC
Professional Counselor · Tucson, AZ
NPI number
1679194898
Active
Practice location
660 N 3rd Ave
Tucson, AZ 85705-7856
Mailing address
611 E 4th St
Tucson, AZ 85705-7807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LAC-18119 (AZ) |
| Professional Counselor Primary | 101YP2500X | LPC-20247 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1679194898
Kelly J. Wilt, LPC's National Provider Identifier is 1679194898, issued on Apr 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucson, AZ. The record was last updated on Nov 8, 2021.