Individual
MS. KAITLIN M. WILSON
Active
Individual
MS. KAITLIN M. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10544
NE
101YP2500X
Professional Counselor
Primary
0014713
CO
Other
Enumeration date
06/11/2015
Last updated
07/18/2018
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