Individual
EMILY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MARINA DR APT 1001, TUSCALOOSA, AL 35406-3243
(419) 571-1727
Mailing address
201 MARINA DR APT 1001, TUSCALOOSA, AL 35406-3243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1700506
OH
101YM0800X
Mental Health Counselor
Primary
4142
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093251225
PRIVATE INSURANCE
OH
Enumeration date
10/04/2017
Last updated
04/26/2022
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