Individual provider · Type 1 NPI
Kimberly Wilson, LPC
Mental Health Counselor · Lawrenceville, GA
NPI number
1720861867
Active
Practice location
3238 Long Iron Pl
Lawrenceville, GA 30044-2513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LPC014060 (GA) |
| Mental Health Counselor Primary | 101YM0800X | LPC014060 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1720861867
Kimberly Wilson, LPC's National Provider Identifier is 1720861867, issued on Aug 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 5, 2025.