Individual
MS. PAMELA C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2809 GREAT NORTHERN LOOP STE 210-5, MISSOULA, MT 59808-1749
(406) 360-8470
Mailing address
14098 JENNY ANN CT UNIT A, MISSOULA, MT 59808-5386
(406) 360-8470
(406) 360-8470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4654
MT
Other
Enumeration date
09/18/2013
Last updated
03/27/2018
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