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Kim Wilgus, MA,LPC
Counselor in Shiner, Texas
NPI 1568472306

Kim Wilgus is a Counselor based in Shiner, TX. Kim Wilgus practices in Shiner, TX and has the professional credentials of MA,LPC. The NPI Number for Kim Wilgus is 1568472306 and holds a License No. 19500 (Texas).

The current practice location address for Kim Wilgus is 517 W Bozka St, Shiner, TX and can be reached out via phone at 361-935-6240.

Location: 517 W Bozka St, Shiner, TX, 77984-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568472306
Provider Name
Kim Wilgus
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
517 W Bozka St, Shiner, TX, 77984-1464
Phone Number
361-935-6240
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202876529 01 TX TAX ID
011735136 05 TX
institution
Provider Business Practice Location Address Details
Address
517 W Bozka St
City
Shiner
State
Texas
Zip
77984-5598
Phone Number
361-935-6240
Fax Number
person
Provider Business Mailing Address Details
Address
517 W Bozka St
City
Shiner
State
Texas
Zip
77984-5598
Phone Number
361-935-6240
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
19500 (Texas)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
19500 (Texas)
Definition
Definition to come...
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