Individual
KEVIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
CADC
Contact information
Practice address
31 S COMMERCE WAY STE 300, BETHLEHEM, PA 18017-8992
(610) 264-5521
(610) 419-0763
Mailing address
31 S COMMERCE WAY STE 300, BETHLEHEM, PA 18017-8992
(610) 264-5521
(610) 419-0763
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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