Individual
MELISSA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
5600 BRAINERD RD STE A4, CHATTANOOGA, TN 37411-5336
(423) 266-4588
(865) 342-0103
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1623
TN
Other
Enumeration date
05/06/2006
Last updated
11/10/2020
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