Wilson, Kanisha

Wilson, Kanisha is an sole proprietor health care provider with primary practice located at 8221 Willow Oaks Corporate Dr , Fairfax VA 22031-4512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wilson, Kanisha can be contacted via phone (703) 559-3000.

Contact Information

Primary practice address
8221 Willow Oaks Corporate Dr Fairfax VA 22031-4512
Phone: (703) 559-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701013019 Virginia

Profile Details

NPI number 1558800326
LBN Legal business name Wilson, Kanisha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2017
Last updated May 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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