Individual
DR. RONALD TERRY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LCAC, LMFT
Contact information
Practice address
104 N ELM ST, HENDERSON, KY 42420-3131
(270) 454-4558
Mailing address
104 N ELM ST, HENDERSON, KY 42420-3131
(270) 454-4558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39001951A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
168501
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
39001951A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000390A
IN
101YM0800X
Mental Health Counselor
39001951A
IN
101YM0800X
Mental Health Counselor
3900195AA
IN
101YS0200X
School Counselor
964686
—
103TC0700X
Clinical Psychologist
Primary
31505
CA
106H00000X
Marriage & Family Therapist
35001731A
IN
Other
Enumeration date
04/29/2008
Last updated
03/14/2023
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