Individual
ANITA KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1881 GENERAL GEORGE PATTON DR, FRANKLIN, TN 37067-4606
(615) 829-5700
(615) 661-4357
Mailing address
474 SOUTH MAIN ST, ASHLAND CITY, TN 37015
(615) 319-4386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000000327
TN
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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