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Contact Information

KASEY WILSON, ADC, BA, QBHP
3113 S 70TH ST
FORT SMITH, AR72903-5017
 Phone: 479-452-6650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KASEY WILSON · (Male)

NPI Number 1023645991
Status Active
Credentials ADC, BA, QBHP
Entity Individual
Enumeration date 03/23/2020
Last updated 07/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
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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