Individual
EMILY NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, CRC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3129
LA
101YP2500X
Professional Counselor
CC6862
ME
101YP2500X
Professional Counselor
Primary
P2005007
AR
106H00000X
Marriage & Family Therapist
1114
LA
Other
Enumeration date
08/23/2011
Last updated
11/09/2022
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