| Doctor Name: | WENDY ELIZABETH WILSON |
| NPI Number: | 1275970550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 1334 |
| Business Practice Address: | 130 N Morgan St Suite 201 Morganfield, KY - 424371477 |
| Business Phone Number: | 2703894405 |
| Business Fax Number: | 2703894813 |
| Mailing Address: | 230 2nd St, Suite #406 HENDERSON |
| State: | KY |
| Postal Code: | 424203172 |
| Phone Number: | 2708268761 |
| Fax Number: | 2708268737 |
| NPI Enumeration Date: | 05/28/2013 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1334 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |