Individual
SAMANTHA LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
504 N MAIN ST STE B, NICHOLASVILLE, KY 40356-1125
(859) 707-5368
(859) 759-0970
Mailing address
504 N MAIN ST STE B, NICHOLASVILLE, KY 40356-1125
(859) 759-1223
(859) 759-0970
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
297672
KY
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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