Individual
KEVIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
2045 WESTGATE DR, BETHLEHEM, PA 18017-7480
(267) 227-4646
Mailing address
2045 WESTGATE DR, BETHLEHEM, PA 18017-7480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
Primary
SW142778
PA
Other
Enumeration date
08/26/2024
Last updated
05/21/2026
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