Individual provider · Type 1 NPI

Kimberly Lannette Wilson, LMFT

Marriage & Family Therapist · Charlotte, NC

NPI number 1265587430 Active

Practice location

2015 Ayrsley Town Blvd, Suite 202
Charlotte, NC 28273-4067

Call (704) 280-8502 Map

Fax (800) 858-2194

Mailing address

15105D John J Delaney Dr Ste 192
Charlotte, NC 28277-2741

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X785 (TN)
Marriage & Family Therapist 106H00000X4101006188 (MI)
Marriage & Family Therapist 106H00000XMFT000954 (GA)
Marriage & Family Therapist Primary 106H00000X1303 (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1265587430

Kimberly Lannette Wilson, LMFT's National Provider Identifier is 1265587430, issued on Jan 25, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Charlotte, NC. The record was last updated on Dec 11, 2020.