Individual
KIMBERLY FARRIS-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1780 OLD HIGHWAY 50 E, UNION, MO 63084-3397
(636) 582-8100
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2005039584
MO
101YP2500X
Professional Counselor
Primary
2005039584
MO
Other
Enumeration date
12/12/2017
Last updated
03/26/2025
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