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

Mrs. Kelly Ann Wilson

Individual provider Mental Health Counselor · NPI 1528619160

Mrs. Kelly Ann Wilson is a Mental Health Counselor in Altadena, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

760 Mountain View St
Altadena, CA 91001-4996
Phone: (626) 798-6793
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 104732 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 104732 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1528619160
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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