Provider Demographics
NPI:1689349789
Name:KRISTINE L WILHELMSEN INC
Entity Type:Organization
Organization Name:KRISTINE L WILHELMSEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILHELMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-634-9251
Mailing Address - Street 1:703 OCEAN MDWS
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5232
Mailing Address - Country:US
Mailing Address - Phone:774-634-9251
Mailing Address - Fax:508-993-1162
Practice Address - Street 1:4 HARTWELL ST STE 306
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-3019
Practice Address - Country:US
Practice Address - Phone:774-634-9251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health