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Organization
WILSON COUNSELING SERVICE, LLC
Active
Organization
WILSON COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WILSON (CEO)
(478) 288-0709
Entity
Organization
Contact information
Practice address
VINEVILLE AVENUE, SUITE B, MACON, GA 31204
(478) 288-0709
Mailing address
PO BOX 385, HARDWICK, GA 31034-0385
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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