Individual
MRS. TINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
9431 AL HIGHWAY 22, MAPLESVILLE, AL 36750-3264
(334) 366-4040
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ALCO4011
AL
Other
Enumeration date
05/09/2023
Last updated
09/26/2025
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