Individual provider · Type 1 NPI
Kenneth Lamar Wilson, LPC
Professional Counselor · Macon, GA
NPI number
1821563735
Active
Practice location
2245 Vineville Ave Ste B
Macon, GA 31204-3115
Mailing address
1360 Irwinton Rd Apt 6
Milledgeville, GA 31061-3886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | APC006444 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC012032 (GA) |
Professional Counselor: Definition to come...
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About NPI 1821563735
Kenneth Lamar Wilson, LPC's National Provider Identifier is 1821563735, issued on Oct 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Macon, GA. The record was last updated on Mar 12, 2022.