Individual
MARIANNE LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103-7244
(603) 634-9471
(603) 676-2173
Mailing address
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103-7244
(603) 634-9471
(603) 676-2173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2174
NH
101YM0800X
Mental Health Counselor
MH7105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH7105
LICENSED MENTAL HEALTH COUNSELOR
FL
Enumeration date
03/13/2012
Last updated
08/08/2024
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