Individual provider · Type 1 NPI

Kimberly Joy Wilson

Mental Health Counselor · Vancouver, WA

NPI number 1760003958 Active

Practice location

11105 NE 14th St Ste 103
Vancouver, WA 98684-4309

Mailing address

11192 SE 52nd Ct
Portland, OR 97222-3500

Other practice locations

  • 11192 SE 52nd Ct, Portland, OR 97222-3500 · (503) 850-8088

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR7572 (OR)
Mental Health Counselor 101YM0800XMC61308406 (WA)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1760003958

Kimberly Joy Wilson's National Provider Identifier is 1760003958, issued on Apr 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Dec 26, 2023.