Individual provider · Type 1 NPI

Keith B. Wilson, PhD, CRC, LPC, NCC

Professional Counselor · State College, PA

NPI number 1841373792 Active

Practice location

119 S Burrowes St, Suite 603
State College, PA 16801-3863

Call (814) 237-1233 Map

Fax (814) 238-1875

Mailing address

109 Berwick Dr
Boalsburg, PA 16827-1611

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC000512 (PA)

Professional Counselor: Definition to come...

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About NPI 1841373792

Keith B. Wilson, PhD, CRC, LPC, NCC's National Provider Identifier is 1841373792, issued on Oct 23, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in State College, PA. The record was last updated on Oct 10, 2011.