Individual
MS. MARQUITA LACHETTE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, LGC, NCC
Contact information
Practice address
210 S MAIN ST, NEWTON, MS 39345-2613
(601) 900-8632
Mailing address
PO BOX 117, FOREST, MS 39074-0117
(601) 900-8632
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2729
MS
101YP2500X
Professional Counselor
Primary
2729
MS
101YS0200X
School Counselor
324167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023491
—
MS
Enumeration date
07/16/2020
Last updated
05/08/2026
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