Kimberly Wilson, NMD,LPC,LMFT, LCDC,L

NPI 1235316159 · on the registry since 2008 · sole proprietor

Practice

Address: 2942 N 24th St
#114-545
Phoenix, AZ 85016
Phone: (888) 539-1233
Fax: (469) 606-9102
Organisation at this address: Patheway Life
Sns Foundation
A-Making Changes
Averra Health Llc
Copper Canyon Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Additional practice sites

6545 Preston Rd, Plano, TX
2942 N 24th St # 114-545, Phoenix, AZ

Registry record

Primary taxonomy: 175F00000X
175F00000X
Also registered as: 101YA0400X
101YM0800X
106H00000X
133N00000X
174H00000X
174N00000X
175L00000X
176B00000X
225700000X
374J00000X
376K00000X
Licence states on file: TX, AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona