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Organization
WILSON PROFESSIONAL COUNSELING & CONSULTING, LLC
Active
Organization
WILSON PROFESSIONAL COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYATTA WILSON LPC (COUNSELOR)
(770) 820-3070
Entity
Organization
Contact information
Practice address
500 OLD BREMEN RD, SUITE 101, CARROLLTON, GA 30117-5216
(770) 820-3070
Mailing address
500 OLD BREMEN RD, SUITE 101, CARROLLTON, GA 30117-5216
(770) 820-3070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007401
GA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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