Individual
JAMALA DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301
(318) 473-4328
(318) 473-4329
Mailing address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(318) 473-4328
(318) 473-4329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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