Individual
MR. KEVIN W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
6220 BLUE RIDGE CUTOFF, SUITE # 206, KANSAS CITY, MO 64133-7505
(816) 358-8808
(816) 358-8802
Mailing address
6220 BLUE RIDGE CUTOFF, SUITE # 206, KANSAS CITY, MO 64133-7505
(816) 358-8808
(816) 358-8802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS000651
MO
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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