Organization
WILSON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE R. WILSON SR. (ADMINISTRATOR)
(270) 904-1072
Entity
Organization
Contact information
Practice address
1312 WESTEN ST, BOWLING GREEN, KY 42104-3352
(270) 904-1072
(270) 904-1073
Mailing address
1312 WESTEN ST, BOWLING GREEN, KY 42104-3352
(270) 904-1072
(270) 904-1072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3505
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100300070
—
KY
Enumeration date
08/06/2013
Last updated
01/02/2024
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