Individual
DONNEISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PLPC, NCC
Contact information
Practice address
4038 CANAL ST, NEW ORLEANS, LA 70119-6021
(504) 681-7030
Mailing address
3535 APOLLO DR APT 144N, METAIRIE, LA 70003-3316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC7102
LA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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