Individual
BRITTANY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH, NCC
Contact information
Practice address
866 BLACK DIAMOND RD, SMYRNA, DE 19977-9611
(302) 233-2593
Mailing address
866 BLACK DIAMOND RD, SMYRNA, DE 19977-9611
(302) 233-2593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011486
DE
101YP2500X
Professional Counselor
PC-0011486
DE
Other
Enumeration date
11/10/2023
Last updated
01/09/2024
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