Individual
MR. COLEMAN MITCHELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
3312 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508-7449
(337) 534-0727
(337) 534-0737
Mailing address
3312 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508-7449
(337) 534-0727
(337) 534-0737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC6286
LA
Other
Enumeration date
11/06/2015
Last updated
04/10/2023
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