Gordon Wilson, LCSW

NPI 1477793271 · on the registry since 2009

Practice

Address: 562 Wyoming Ave
Kingston, PA 18704
Phone: (570) 552-3760
Fax: (570) 552-3765
Organisation at this address: David Liskov, Md
Luzerne Wyoming Co Mhc#1
Steven R. Kafrissen, Md, Pc
First Hospital Psy Operations Llc
Luzerne Wyoming County Mh Center #1
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania