Individual
MRS. MARLO LEWIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC
Contact information
Practice address
199 EXCHANGE CIR UNIT 201, INDIAN TRAIL, NC 28079-9709
(704) 425-8086
Mailing address
199 EXCHANGE CIR UNIT 201, INDIAN TRAIL, NC 28079-9709
(704) 425-8086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10880
SC
101YP2500X
Professional Counselor
Primary
WILS-87UXOJ
NC
Other
Enumeration date
10/24/2022
Last updated
10/08/2025
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