Individual
MS. ALIYAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
Mailing address
24781 PICONE LN, BEDFORD HEIGHTS, OH 44146-1948
(216) 513-7044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1700415
OH
101YM0800X
Mental Health Counselor
Primary
E.2102295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266775
—
OH
Enumeration date
06/26/2017
Last updated
05/11/2022
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