person
Mr. Keith L Wilson III, MS,LPC
Mental Health Counselor in Springfield, Missouri
NPI 1982949988

Keith L Wilson III is a Mental Health Counselor based in Springfield, MO and is specialized in Mental Health. Keith L Wilson III practices in Springfield, MO and has the professional credentials of MS,LPC. The NPI Number for Keith L Wilson III is 1982949988 and holds a License No. 2012037415 (Missouri).

The current practice location address for Keith L Wilson III is 1330 E Cherry St # 12, Springfield, MO and can be reached out via phone at 417-761-9598.

Location: 1330 E Cherry St # 12, Springfield, MO, 65802-3429
person
Provider Profile Details
NPI Number
1982949988
Provider Name
Keith L Wilson III
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1330 E Cherry St # 12, Springfield, MO, 65802-3429
Phone Number
417-761-9598
Fax Number
Provider Enumeration Date
12/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982949988 05 MO
1801285440 05 MO
institution
Provider Business Practice Location Address Details
Address
1330 E Cherry St # 12
City
State
Zip
65802-3429
Phone Number
417-761-9598
Fax Number
person
Provider Business Mailing Address Details
Address
1330 E Cherry St # 12
City
State
Zip
65802-3429
Phone Number
417-761-9598
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2012037415 (Missouri)
Definition
Definition to come...
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