# PRISCILLA WILSON, LMHP, NCC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790057453
- **Authorized official:** MS. PRISCILLA ANNE WILSON LMHP, NCC (OWNER)
- **Authorized official phone:** (402) 720-5129

## Contact information

- **Practice address:** 230 E 22ND ST STE 3, FREMONT, NE 68025-2661
- **Practice address phone:** (402) 720-5129
- **Practice address fax:** (402) 727-4839
- **Mailing address:** 230 E 22ND ST STE 3, FREMONT, NE 68025-2661
- **Mailing address phone:** (402) 720-5129
- **Mailing address fax:** (402) 727-4839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2417 | NE | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012