Individual
MS. ADRIENNE CAROL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3172 RIO ARRIZA LOOP, LAS CRUCES, NM 88012-7689
(575) 373-1163
(575) 373-1164
Mailing address
3172 RIO ARRIZA LOOP, LAS CRUCES, NM 88012-7689
(575) 373-1163
(575) 373-1164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0122051
NM
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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