Wilson, Kenneth D

Wilson, Kenneth D is an sole proprietor health care provider with primary practice located at 915 Nipsic Ave , Bremerton WA 98310-4837. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Kenneth D can be contacted via phone (405) 863-4396.

Contact Information

Primary practice address
915 Nipsic Ave Bremerton WA 98310-4837
Phone: (405) 863-4396
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60694550 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60361555 Washington

Profile Details

NPI number 1629260344
LBN Legal business name Wilson, Kenneth D
Credentials LMHCA, CDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2007
Last updated Jan 2nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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