| Wilson Professional Counseling & Consulting, Llc | |
|
500 Old Bremen Rd Suite 101 Carrollton GA 30117-5216 | |
| (770) 820-3070 | |
| Not Available |
| Full Name | Wilson Professional Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 Old Bremen Rd, Carrollton, Georgia |
| Authorized Official Name and Position | Kenyatta Wilson (COUNSELOR) |
| Authorized Official Contact | 7708203070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Professional Counseling & Consulting, Llc 500 Old Bremen Rd Suite 101 Carrollton GA 30117-5216 Ph: (770) 820-3070 | Wilson Professional Counseling & Consulting, Llc 500 Old Bremen Rd Suite 101 Carrollton GA 30117-5216 Ph: (770) 820-3070 |
| NPI Number | 1568873420 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568873420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007401 (Georgia) | Primary |
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