Individual
JENNIFER MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
645 N BARDSTOWN RD # 247, MOUNT WASHINGTON, KY 40047-9998
(502) 822-6861
Mailing address
PO BOX 247, MOUNT WASHINGTON, KY 40047-0247
(502) 822-6861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
272400
KY
Other
Enumeration date
06/08/2011
Last updated
11/07/2021
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