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Kelley Wilson
Mental Health Counselor in Bradenton, Florida
NPI 1104244474

Kelley Wilson is a Mental Health Counselor based in Lakewood Ranch, FL and is specialized in Mental Health. Kelley Wilson practices in Bradenton, FL. The NPI Number for Kelley Wilson is 1104244474 and holds a License No. MH7200 (Florida).

The current practice location address for Kelley Wilson is 5131 Manatee Ave W, Bradenton, FL and can be reached out via phone at 941-792-0802.

Location: 5131 Manatee Ave W, Bradenton, FL, 34202-4167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104244474
Provider Name
Kelley Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5131 Manatee Ave W, Bradenton, FL, 34202-4167
Phone Number
941-792-0802
Fax Number
Provider Enumeration Date
04/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5131 Manatee Ave W
City
Bradenton
State
Florida
Zip
34209-3740
Phone Number
941-792-0802
Fax Number
person
Provider Business Mailing Address Details
Address
5131 Manatee Ave W
City
Bradenton
State
Florida
Zip
34209-3740
Phone Number
941-792-0802
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH7200 (Florida)
Definition
Definition to come...
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