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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH B WILSON, PH.D., CRC, LPC, NCC

Active Sole Proprietor

DR. KEITH B WILSON, PH.D., CRC, LPC, NCC is a Professional Counselor healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1841373792 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · STATE COLLEGE, PA

Registration Details

NPI Number
1841373792
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2006 (19.623888520884 yrs)
Last Updated
Oct 10, 2011
License
PC000512 (PA)
Sole Proprietor
Yes

Practice Information

Address
119 S BURROWES ST
SUITE 603
STATE COLLEGE, PA, 168013863
Browse PA providers · Browse ZIP 16801
Phone
8142371233
Fax
8142381875
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in STATE COLLEGE, PA

Name Credential NPI
DR. GARTH JACKSON GILLAN DMIN 1689655425
MS. RHONDA JEAN STERN MA, ATR-BC, LPC 1407881451
MS. DEANNA NARDOZZO LPC 1295753002
MS. LORI A WATERS LPC CAC 1063429207
MR. TIMOTHY CRAIG EVANS LPC,CAADAC, MAC, NCC 1275644056
MS. CHRISTY BECK M.ED., NCC, L.P.C. 1013017573
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.