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Individual

MR. SCOTT CURTIS WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCP, LIMHP

Contact information

Practice address
1801 EASTSIDE AVE, NASHVILLE, TN 37206-2116
(316) 253-1318
Mailing address
1801 EASTSIDE AVE, NASHVILLE, TN 37206-2116
(316) 253-1318

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
085169
IA
101YP2500X
Professional Counselor
Primary
13038
CO
101YP2500X
Professional Counselor
1677
NE
101YP2500X
Professional Counselor
2336
NE
101YP2500X
Professional Counselor
7320
TN
103TC0700X
Clinical Psychologist
071
KS

Other

Enumeration date
04/22/2024
Last updated
10/09/2024
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