Individual
KIMBERLY WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 S PARK DR STE F, WINTERVILLE, NC 28590-8945
(252) 751-0865
(616) 619-6015
Mailing address
2040 S PARK DR STE F, WINTERVILLE, NC 28590-8945
(252) 327-9415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3069-A
NC
Other
Enumeration date
06/10/2014
Last updated
09/11/2025
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