Individual
SAMANTHA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 W HWY 80, STE 1, SOMERSET, KY 42503
(606) 425-4567
(606) 425-5134
Mailing address
671 W HWY 80, STE 1, SOMERSET, KY 42503
(606) 425-4567
(606) 425-5134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104789
KY
101YP2500X
Professional Counselor
Primary
104789
KY
Other
Enumeration date
02/23/2010
Last updated
10/01/2025
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