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Individual
HEATHER L WILSON
Active
Individual
HEATHER L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1431
MT
101YM0800X
Mental Health Counselor
Primary
LCPC-5644
ID
101YM0800X
Mental Health Counselor
LPC-5407
ID
Other
Enumeration date
10/12/2009
Last updated
07/10/2023
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