Individual
KIMBERLY ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, PSYCHOLOGY
Contact information
Practice address
5231 PENN AVE, GROUND FLOOR, PITTSBURGH, PA 15224-1768
(412) 204-9012
(412) 204-9130
Mailing address
5231 PENN AVE, GROUND FLOOR, PITTSBURGH, PA 15224-1768
(412) 496-3848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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