Individual provider · Type 1 NPI

Amanda Wilson

Professional Counselor · Bowling Green, KY

NPI number 1568149474 Active

Practice location

1621 Scottsville Rd
Bowling Green, KY 42104-3244

Mailing address

705 Ryan Dr
Russellville, KY 42276-1247

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X310377 (KY)

Professional Counselor: Definition to come...

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About NPI 1568149474

Amanda Wilson's National Provider Identifier is 1568149474, issued on Jul 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bowling Green, KY. The record was last updated on Sep 8, 2026.