# MS. LAURIE L WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316181399
- **Gender:** F
- **Credential:** L.P.C., LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 0701002089 | VA | — |
| 101YP2500X | Professional Counselor | 0717000399 | VA | — |
| 106H00000X | Marriage & Family Therapist | 0717000399 | VA | Yes |

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 09/07/2021
