Individual
DAVID WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
914 E BROADWAY FL 3, LOUISVILLE, KY 40204-1037
(502) 802-5741
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
175425
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106H00000X
—
KY
Enumeration date
12/21/2017
Last updated
12/21/2017
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