Individual
SHALONDA RACHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 COLONIAL DR STE 200A, COLUMBIA, SC 29203-6818
(803) 898-2162
Mailing address
222 BIRCH HOLLOW DR, COLUMBIA, SC 29229-8208
(704) 490-6203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
04/29/2025
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