Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENDRICKE DUVAUGHN WILSON
ActiveKENDRICKE DUVAUGHN WILSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ROCKAWAY, New Jersey. NPI 1053160820 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ROCKAWAY, NJ
Registration Details
- NPI Number
- 1053160820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2024 (2.2973978545874 yrs)
- Last Updated
- May 15, 2024
Practice Information
- Address
-
25 W MAIN ST STE AROCKAWAY, NJ, 078663435Browse NJ providers · Browse ZIP 07866
- Phone
- 9736251998
- Fax
- 9736258048
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ROCKAWAY, NJ
| Name | Credential | NPI |
|---|---|---|
| DIANNE WAGONER | — | 1285275446 |
| MS. EMILY MONKS | CPRS | 1184355067 |
| JOHN PATRICK REAGAN | — | 1386491751 |
| MICHAEL ANTHONY RUSSO | — | 1720835150 |
| JON-ERIK LANDVIK RANDAZZO | — | 1780431742 |
| NOAH ALEXANDER DEUTSCH | — | 1275382830 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.