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Kelly Anne Wilson
Counselor in Bethel, Alaska
NPI 1457869810

Kelly Anne Wilson is a Counselor based in Bethel, AK. Kelly Anne Wilson practices in Bethel, AK. The NPI Number for Kelly Anne Wilson is 1457869810 and holds a License No. (Alaska).

The current practice location address for Kelly Anne Wilson is 5016 Noel Polty Blvd., Bethel, AK and can be reached out via phone at 907-543-6800 and via fax at 907-543-7101.

Location: 5016 Noel Polty Blvd., Bethel, AK, 99559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457869810
Provider Name
Kelly Anne Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5016 Noel Polty Blvd., Bethel, AK, 99559
Phone Number
907-543-6800
Fax Number
907-543-7101
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1006017 05 AK
1020986 05 AK
1584987 05 AK
institution
Provider Business Practice Location Address Details
Address
5016 Noel Polty Blvd.
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6800
Fax Number
907-543-7101
person
Provider Business Mailing Address Details
Address
5016 Noel Polty Blvd.
City
Bethel
State
Alaska
Zip
99559
Phone Number
907-543-6800
Fax Number
907-543-7101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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