Individual
DR. JAMES EDWIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.C.
Contact information
Practice address
1358 SALE AVE, LOUISVILLE, KY 40215-1907
(502) 454-8800
(502) 736-0140
Mailing address
1358 SALE AVE, LOUISVILLE, KY 40215-1907
(502) 454-8800
(502) 736-0140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1272
KY
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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