Individual
HANNAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-5000
(218) 333-5880
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC01959
MN
101YP2500X
Professional Counselor
Primary
1959
MN
Other
Enumeration date
01/08/2019
Last updated
04/07/2021
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