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Kimberly Joy Wilson
Mental Health Counselor in Vancouver, Washington
NPI 1760003958

Kimberly Joy Wilson is a Mental Health Counselor based in Portland, WA and is specialized in Mental Health. Kimberly Joy Wilson practices in Vancouver, WA. The NPI Number for Kimberly Joy Wilson is 1760003958 and holds a License No. R7572 (Washington).

The current practice location address for Kimberly Joy Wilson is 11105 Ne 14Th St Ste 103, Vancouver, WA and can be reached out via phone at 503-850-8088.

Location: 11105 Ne 14Th St Ste 103, Vancouver, WA, 97222-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760003958
Provider Name
Kimberly Joy Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
11105 Ne 14Th St Ste 103, Vancouver, WA, 97222-3500
Phone Number
503-850-8088
Fax Number
Provider Enumeration Date
04/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11105 Ne 14Th St Ste 103
City
Vancouver
State
Washington
Zip
98684-4309
Phone Number
503-850-8088
Fax Number
person
Provider Business Mailing Address Details
Address
11105 Ne 14Th St Ste 103
City
Vancouver
State
Washington
Zip
98684-4309
Phone Number
503-850-8088
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R7572 (Oregon)
Definition
Definition to come...
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