Individual provider · Type 1 NPI
Keith L. Wilson Iii, MS, LPC
Mental Health Counselor · Springfield, MO
NPI number
1982949988
Active
Practice location
1330 E Cherry St # 12
Springfield, MO 65802-3429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 2012037415 (MO) |
Mental Health Counselor: Definition to come...
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About NPI 1982949988
Keith L. Wilson Iii, MS, LPC's National Provider Identifier is 1982949988, issued on Dec 1, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MO. The record was last updated on Feb 17, 2015.