Individual
JENNIFER MEGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
332 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 913-1315
Mailing address
807 SAM CHRISTOPHER CT, RICHMOND, KY 40475-3048
(606) 273-7510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
242479
KY
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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