Individual
DR. LACRYSTAL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
210 CYPRESS DR, BAKER, LA 70714-3302
(225) 268-7207
Mailing address
210 CYPRESS DR, BAKER, LA 70714-3302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5567
LA
Other
Enumeration date
05/10/2017
Last updated
03/07/2024
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