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Contact Information

KRISTEN WILSON, CADC I
1985 SAGINAW ST S
SALEM, OR97302-5235
 Phone: 503-508-7518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTEN WILSON · (Female)

NPI Number 1295989440
Status Active
Credentials CADC I
Entity Individual
Enumeration date 11/13/2008
Last updated 05/10/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 08-06-79
  • OR Other 08-06-79 ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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