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Kenneth Wilson, LPC

NPI 1821563735 · on the registry since 2018

Practice

Address
2245 Vineville Ave Ste B
Macon, GA 31204
Phone
(478) 288-0709

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia