Individual
MR. KENNETH LAMAR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC006444
GA
101YP2500X
Professional Counselor
Primary
LPC012032
GA
Other
Enumeration date
10/06/2018
Last updated
03/12/2022
Update your record
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