Individual
AMIE JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
500 NEW START RD, BRONSTON, KY 42518-8572
(606) 561-5797
(606) 561-9928
Mailing address
300 HOPE ST, MT WASHINGTON, KY 40047-7757
(502) 538-1000
(502) 538-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104785
KY
Other
Enumeration date
11/07/2013
Last updated
06/06/2016
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