Individual
NICOLE D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LSW
Contact information
Practice address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Mailing address
3375 US ROUTE 60, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1447
WV
1041C0700X
Clinical Social Worker
Primary
AP00940808
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447
LPC
WV
01
—
AP00940808
LSW
WV
Enumeration date
10/02/2006
Last updated
09/11/2025
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