Brenda Wilson

NPI #1972082592 in King Cove, Alaska

Provider Information

NPI Number: 1972082592
Entity Type: Individual
Name: Brenda Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Aug 14, 2018
Last Updated: Aug 14, 2018

Practice Location

Address: 100 SLOCUM DRIVE
City: King Cove
State: Alaska
ZIP Code: 99612-0009
Phone: (907) 497-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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