Individual provider · Type 1 NPI
Kimberly Patrice Wilson
Addiction (Substance Use Disorder) Counselor · Centreville, MD
NPI number
1801220579
Active
Practice location
205 North Liberty St
Centreville, MD 21617
Fax (410) 758-2133
Mailing address
205 N Liberty St
Centreville, MD 21617-1022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | TRAINEE (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801220579
Kimberly Patrice Wilson's National Provider Identifier is 1801220579, issued on Aug 29, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Centreville, MD. The record was last updated on Aug 29, 2013.