# WILSON COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427480060
- **Authorized official:** EDDIE R. WILSON SR. (ADMINISTRATOR)
- **Authorized official phone:** (270) 904-1072

## Contact information

- **Practice address:** 1312 WESTEN ST, BOWLING GREEN, KY 42104-3352
- **Practice address phone:** (270) 904-1072
- **Practice address fax:** (270) 904-1073
- **Mailing address:** 1312 WESTEN ST, BOWLING GREEN, KY 42104-3352
- **Mailing address phone:** (270) 904-1072
- **Mailing address fax:** (270) 904-1072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3505 | KY | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 01/02/2024