Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 HEXHAM DR, LYNCHBURG, VA 24502-3012
(434) 582-1305
(434) 582-1306
Mailing address
107 HEXHAM DR, LYNCHBURG, VA 24502-3012
(434) 582-1305
(434) 582-1306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005114
VA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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