Individual
RAQUEL MASSIELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
10470 W CHEYENNE AVE UNIT 115-147, LAS VEGAS, NV 89129-8732
(316) 655-0283
Mailing address
10470 W CHEYENNE AVE UNIT 115-147, LAS VEGAS, NV 89129-8732
(316) 655-0283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP6385
NV
101YP2500X
Professional Counselor
Primary
CI5090
NV
Other
Enumeration date
06/20/2022
Last updated
07/07/2026
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