Individual
MRS. KATHRYN ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6151 CENTRAL AVE, INDIANAPOLIS, IN 46220-1838
(317) 608-2880
Mailing address
9125 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-1342
(630) 267-9271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88001829A
IN
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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