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Kendricke Duvaughn Wilson

Counselor - Addiction (Substance Use Disorder)

NPI: 1053160820Rockaway, New Jersey, 07866(973) 625-1998Male
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About Kendricke Duvaughn Wilson

Kendricke Duvaughn Wilson is a male healthcare professional specializing in Counselor - Addiction (Substance Use Disorder) with a focus on Addiction (Substance Use Disorder), registered under National Provider Identifier (NPI) number 1053160820.

Their primary practice is located at 25 W MAIN ST STE A, Rockaway, New Jersey 07866. Patients can reach the office at (973) 625-1998. Kendricke Duvaughn Wilson has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1053160820
Entity Type
Individual
First Name
Kendricke
Last Name
Wilson
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
25 W MAIN ST STE A
City
Rockaway
State
New Jersey
ZIP
07866-3435
Country
United States
Phone
(973) 625-1998
Fax
(973) 625-8048

Specialty & Taxonomy

Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Classification
Counselor
Specialization
Addiction (Substance Use Disorder)
Taxonomy Code
101YA0400X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
25 W MAIN ST STE A
City
ROCKAWAY
State
NJ
ZIP
078663435

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kendricke Duvaughn Wilson's NPI number?
Kendricke Duvaughn Wilson's National Provider Identifier (NPI) is 1053160820. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kendricke Duvaughn Wilson specialize in?
Kendricke Duvaughn Wilson specializes in Counselor - Addiction (Substance Use Disorder).
Where is Kendricke Duvaughn Wilson located?
Kendricke Duvaughn Wilson practices at 25 W MAIN ST STE A, Rockaway, New Jersey 07866. You can reach them by phone at (973) 625-1998.
Does Kendricke Duvaughn Wilson accept Medicare?
Based on available data, Kendricke Duvaughn Wilson is not currently enrolled in the Medicare program.
Does Kendricke Duvaughn Wilson offer telehealth or virtual visits?
Kendricke Duvaughn Wilson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kendricke Duvaughn Wilson is 1053160820.