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Individual
CHRISTINE WILSON
Active
Individual
CHRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9697
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
05
—
008144423
—
CT
Enumeration date
05/13/2026
Last updated
07/01/2026
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