MR. KENNETH LAMAR WILSON LPC NPI 1821563735

NPI Information

NPI: 1821563735
Provider Name: MR. KENNETH LAMAR WILSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2245 VINEVILLE AVE STE B
MACON, GA
ZIP 31204
Phone: (478) 288-0709
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MR. Kenneth Lamar Wilson, LPC is a professional counselor in Macon, GA. MR. Kenneth Lamar Wilson, LPC NPI is 1821563735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2245 VINEVILLE AVE STE B
MACON, GA
ZIP 31204-115
Phone: (478) 288-0709

The enumeration date for this NPI number is 10/6/2018 and was last updated on 3/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	APC006444	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC012032	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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