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

Mr. Ken Wilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104223999

Mr. Ken Wilson is an Addiction (Substance Use Disorder) Counselor in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

2610 Commons Blvd
Augusta, GA 30909-2080
Phone: (706) 733-1935
Fax: (706) 667-8727
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 · Licence 564 (GA)

Record details

NPI number1104223999
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2014
Last updated in NPPESNovember 24, 2014
Mailing address2610 Commons Blvd, Augusta, GA 30909-2080

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