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Organization
MICHELE L WILSON
Active
Organization
MICHELE L WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE L WILSON LMHC CAP (PROVIDER & OWNER)
(561) 308-0814
Entity
Organization
Contact information
Practice address
400 VILLAGE SQUARE XING, SUITE 2, PALM BEACH GARDENS, FL 33410-3227
(561) 308-0814
(561) 444-4444
Mailing address
6054 HOLLYWOOD STREET, JUPITER, FL 33458-6724
(561) 308-0814
(561) 444-4444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH12108
LICENSE
FL
Enumeration date
10/30/2014
Last updated
10/30/2014
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