Individual provider · Type 1 NPI

Kristin A. Wilson, MA, LPC, DTR

Professional Counselor · Media, PA

NPI number 1679670848 Active

Practice location

710 S Old Middletown Rd
Media, PA 19063-5024

Mailing address

42 Enlow Pl
Pennsville, NJ 08070-2031

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC002406 (PA)

Professional Counselor: Definition to come...

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About NPI 1679670848

Kristin A. Wilson, MA, LPC, DTR's National Provider Identifier is 1679670848, issued on Sep 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Media, PA. The record was last updated on Jul 8, 2007.