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Brenda Wilson
Addiction (Substance Use Disorder) Counselor in King Cove, Alaska
NPI 1972082592

Brenda Wilson is an Addiction (Substance Use Disorder) Counselor based in King Cove, AK and is specialized in Addiction (Substance Use Disorder). Brenda Wilson practices in King Cove, AK. The NPI Number for Brenda Wilson is 1972082592 and holds a License No. 2945 (Alaska).

The current practice location address for Brenda Wilson is 100 Slocum Drive, King Cove, AK and can be reached out via phone at 907-497-2311 and via fax at 907-497-2310.

Location: 100 Slocum Drive, King Cove, AK, 99612-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972082592
Provider Name
Brenda Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Slocum Drive, King Cove, AK, 99612-0009
Phone Number
907-497-2311
Fax Number
907-497-2310
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Slocum Drive
City
King Cove
State
Alaska
Zip
99612-0009
Phone Number
907-497-2311
Fax Number
907-497-2310
person
Provider Business Mailing Address Details
Address
100 Slocum Drive
City
King Cove
State
Alaska
Zip
99612-0009
Phone Number
907-497-2311
Fax Number
907-497-2310
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2945 (Alaska)
Definition
Definition to come...
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