Individual
ANNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 5TH AVE APT 25H, NEW YORK, NY 10016-5043
(646) 294-8814
Mailing address
325 5TH AVE APT 25H, NEW YORK, NY 10016-5043
(646) 294-8814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P89168
NY
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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