Individual
KAITLIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
244 N MAIN ST, CONCORD, NH 03301-5041
(617) 819-0914
Mailing address
PO BOX 4041, CONCORD, NH 03302-4041
(617) 819-0914
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2757
NH
Other
Enumeration date
06/03/2016
Last updated
01/08/2024
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