Individual provider · Type 1 NPI

Krista Juliane Wilson, TCADC

Addiction (Substance Use Disorder) Counselor · Leitchfield, KY

NPI number 1164201810 Active

Practice location

805 Commerce Dr
Leitchfield, KY 42754-9188

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X287527 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164201810

Krista Juliane Wilson, TCADC's National Provider Identifier is 1164201810, issued on Sep 22, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leitchfield, KY. The record was last updated on Sep 22, 2023.