TANITH JO WILSON

LEXINGTON, KY
NPI1598442519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  267258)
Enumeration Date2023-06-30
Last Update Date2023-06-30
Business Address
Mrs. TANITH JO WILSON CADC
365 WALLER AVE STE 230
LEXINGTON, KY 40504-2924
Phone number: 859-319-2610
Mailing Address
Mrs. TANITH JO WILSON CADC
365 WALLER AVE STE 230
LEXINGTON, KY 40504-2924
Phone number: 859-319-2610
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