Individual
MISS BRITTANY BUNDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
4885 HOUSTON RD STE 200, FLORENCE, KY 41042-4894
(606) 682-0025
Mailing address
108 FERN HILL DR, GEORGETOWN, KY 40324-9759
(606) 682-0025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
104084
KY
101YM0800X
Mental Health Counselor
1224
KY
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
02/11/2025
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