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

Mr. Kevin Wilson, LAC

Individual provider Mental Health Counselor · NPI 1528861069

Mr. Kevin Wilson, LAC is a Mental Health Counselor in Wall Township, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1350 Campus Pkwy Ste 101
Wall Township, NJ 07753-6841
Phone: (732) 924-5589
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00772000 (NJ)

Record details

NPI number1528861069
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address25 Bretonian Dr, Brick, NJ 08723-5763

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