Individual
JENNIFER LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 621-3334
(520) 626-3105
Mailing address
PO BOX 210095, TUCSON, AZ 85721-0095
(520) 621-3334
(520) 626-6105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10115
AZ
Other
Enumeration date
12/22/2006
Last updated
01/09/2022
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