Individual
MRS. LISA H WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SC
Contact information
Practice address
12337 HANCOCK ST STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Mailing address
12337 HANCOCK ST STE 20, CARMEL, IN 46032-5885
(317) 706-6744
(317) 706-6700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002889A
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/03/2006
Last updated
07/29/2020
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