Individual
KIMBERLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC,NCC
Contact information
Practice address
933 RUSSELL RD, SUITE 93, COLUMBIA, KY 42728-1054
(270) 384-1736
(270) 384-1734
Mailing address
933 RUSSELL RD, SUITE 93, COLUMBIA, KY 42728-1054
(270) 384-1736
(270) 384-1734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0410
KY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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