person
Mr. Joel Shane Wilson, MS,LPCC
Professional Counselor in Shepherdsville, Kentucky
NPI 1720198294

Joel Shane Wilson is a Professional Counselor based in Louisville, KY and is specialized in Professional. Joel Shane Wilson practices in Shepherdsville, KY and has the professional credentials of MS,LPCC. The NPI Number for Joel Shane Wilson is 1720198294 and holds a License No. 0550 (Kentucky).

The current practice location address for Joel Shane Wilson is 155 Lees Valley Rd, Shepherdsville, KY and can be reached out via phone at 502-472-9833 and via fax at 502-805-0600.

Location: 155 Lees Valley Rd, Shepherdsville, KY, 40291-3541
person
Provider Profile Details
NPI Number
1720198294
Provider Name
Joel Shane Wilson
Credential
MS,LPCC
Provider Entity Type
Individual
Gender
Male
Address
155 Lees Valley Rd, Shepherdsville, KY, 40291-3541
Phone Number
502-472-9833
Fax Number
502-805-0600
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0550 01 KY LICENSE PROFESSIONAL CLINICAL COUNSELOR
11662641 01 CAQH PROVIDER ID
18552 01 TX LICENSE PROFESSIONAL COUNSELOR
7100267760 05 KY
162300103 05 TX
61254 01 NATIONAL CERTIFIED COUNSELOR
103656 01 KY UPDATED KY LICENSE PROFESSIONAL COUNSELOR NUMBER
institution
Provider Business Practice Location Address Details
Address
155 Lees Valley Rd
City
State
Zip
40165-6143
Phone Number
502-472-9833
Fax Number
502-805-0600
person
Provider Business Mailing Address Details
Address
155 Lees Valley Rd
City
State
Zip
40165-6143
Phone Number
502-472-9833
Fax Number
502-805-0600
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0550 (Kentucky)
Definition
Definition to come...
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