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Individual
WILLETTA M. WILSON
Active
Individual
WILLETTA M. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, MAC, BC-
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007409
MI
101YP2500X
Professional Counselor
Primary
0701005368
VA
101YP2500X
Professional Counselor
PRC13727
DC
106H00000X
Marriage & Family Therapist
LMFT000060
DC
Other
Enumeration date
02/21/2006
Last updated
06/27/2025
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