Individual
MS. CODIE JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
56 TALISMAN DR, PAGOSA SPRINGS, CO 81147-9169
(970) 903-7192
(970) 731-0357
Mailing address
PO BOX 3915, PAGOSA SPRINGS, CO 81147
(970) 903-7192
(970) 731-0357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
874LPC
CO
Other
Enumeration date
09/20/2006
Last updated
04/19/2026
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