Individual
KISHA CAMPBELL-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1611 REGAL RIVER CIR, OCOEE, FL 34761-5119
(407) 470-2307
Mailing address
1611 REGAL RIVER CIR, OCOEE, FL 34761-5119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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