Individual
PRENELLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
58155 CHINN ST, PLAQUEMINE, LA 70764-3601
(225) 385-4543
(866) 825-9703
Mailing address
58155 CHINN ST, PLAQUEMINE, LA 70764-3601
(225) 385-4543
(866) 825-9703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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