Mr. Ken Wilson
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 BlvdAugusta, GA 30909-2080
Phone: (706) 733-1935
Fax: (706) 667-8727
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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 number | 1104223999 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 24, 2014 |
| Last updated in NPPES | November 24, 2014 |
| Mailing address | 2610 Commons Blvd, Augusta, GA 30909-2080 |
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