Individual
KEVIN S WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CACIII
Contact information
Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 241-6023
(970) 242-8330
Mailing address
515 28 3/4 RD, BLDG A, GRAND JUNCTION, CO 81501-5016
(970) 683-7107
(970) 683-7167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7224
CO
1041C0700X
Clinical Social Worker
Primary
292
CO
Other
Enumeration date
05/04/2006
Last updated
04/12/2013
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