Individual
KRISTEN L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMP), NCC
Contact information
Practice address
386 CARRIAGE HOUSE DR STE B, JACKSON, TN 38305-2236
(731) 868-7297
Mailing address
386 CARRIAGE HOUSE DR STE B, JACKSON, TN 38305-2236
(731) 868-7297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5937
TN
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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