Individual
MRS. KRYSTYNA WIKTORIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1780 CENTURY BLVD NE, ATLANTA, GA 30345-3399
(404) 636-6607
Mailing address
2949 GALAHAD DR NE, ATLANTA, GA 30345-3632
(404) 518-0102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009585
GA
Other
Enumeration date
03/22/2019
Last updated
02/23/2024
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