Individual
KIARA LASHAYE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 CARGO CT, LOUISVILLE, KY 40299-1938
(502) 749-6764
Mailing address
951 W FLORENCE AVE, LOUISVILLE, KY 40215-2832
(502) 994-8389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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