Individual
MICHELLE SHARAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 842-6359
(704) 854-4860
Mailing address
2505 COURT DR, GASTONIA, NC 28054-2140
(704) 842-6359
(704) 854-4860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26826
NC
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/15/2016
Last updated
01/26/2024
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