Individual provider · Type 1 NPI

Kenyatta Wilson, M.S.

Mental Health Counselor · Carrollton, GA

NPI number 1275710667 Active

Practice location

500 Old Bremen Rd, Suite 101
Carrollton, GA 30117-5216

Call (770) 820-3070 Map

Mailing address

815 Bankhead Hwy Ste G
Carrollton, GA 30117-1970

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC007401 (GA)
Mental Health Counselor Primary 101YM0800XLPC007401 (GA)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1275710667

Kenyatta Wilson, M.S.'s National Provider Identifier is 1275710667, issued on Jan 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carrollton, GA. The record was last updated on Dec 29, 2021.