Individual
REBECCA OLIVIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
4235 HILLSBORO PIKE STE 300, NASHVILLE, TN 37215-3344
(931) 993-6634
Mailing address
810 BELLEVUE RD APT 231, NASHVILLE, TN 37221-2736
(931) 993-6634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4381
TN
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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