Provider Demographics
NPI:1710467758
Name:WILSON, KARA L (LMHC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:L
Last Name:WILSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:L
Other - Last Name:ASHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2212 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47396-1204
Mailing Address - Country:US
Mailing Address - Phone:260-307-1540
Mailing Address - Fax:
Practice Address - Street 1:2212 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:IN
Practice Address - Zip Code:47396-1204
Practice Address - Country:US
Practice Address - Phone:260-307-1540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IN39004904A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor