Individual
MS. SHANNON MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CRC, CADC
Contact information
Practice address
1570 42ND ST NE STE 2A, CEDAR RAPIDS, IA 52402-3073
(319) 430-1211
Mailing address
1570 42ND ST NE STE 2A, CEDAR RAPIDS, IA 52402-3073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001593
IA
Other
Enumeration date
06/21/2013
Last updated
09/09/2013
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