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MS. KIMBERLY PATRICE WILSON
NPI 1801220579
Counselor - Addiction (Substance Use Disorder) in Centreville, MD

Active since August 29, 2013
205 NORTH LIBERTY ST, CENTREVILLE, MD 21617(410) 758-1306(410) 758-2133 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberly Patrice Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY PATRICE WILSON (NPI 1801220579) is an individual addiction (substance use disorder) provider in Centreville, Maryland, licensed in Maryland (TRAINEE) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1801220579
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KIMBERLY PATRICE WILSON
Location Address205 NORTH LIBERTY STCentreville, MD 21617
Mailing Address205 N Liberty StCentreville, MD 21617-1022 · (410) 758-1306 · Fax (410) 758-2133
Phone(410) 758-1306
Fax(410) 758-2133
Sole ProprietorYes
Enumeration DateAugust 29, 2013
✔ NPI 1801220579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · TRAINEE
205 NORTH LIBERTY ST, Centreville, MD 21617
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1801220579. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 205 North Liberty St, Centreville, MD 21617. The listed phone number is (410) 758-1306.

What is Kimberly Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.