Individual
KENDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMAC, LAPC
Contact information
Practice address
1801 38TH ST S, FARGO, ND 58103-4443
(701) 356-7772
Mailing address
1801 38TH ST S, FARGO, ND 58103-4443
(701) 356-7772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1799
ND
Other
Enumeration date
12/10/2014
Last updated
07/27/2025
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