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Individual

CHRISTAL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC, LCASA

Contact information

Practice address
1952 SPRING DR, GARNER, NC 27529-3486
(919) 557-6967
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 522-0580

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24487
NC
101YM0800X
Mental Health Counselor
Primary
14762
NC

Other

Enumeration date
02/25/2019
Last updated
12/20/2022
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