Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendricke Duvaughn Wilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053160820

Kendricke Duvaughn Wilson is an Addiction (Substance Use Disorder) Counselor in Rockaway, New Jersey. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

25 W Main St Ste A
Rockaway, NJ 07866-3435
Phone: (973) 625-1998
Fax: (973) 625-8048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1053160820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024

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