Individual
LAUREN ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1657 MERRIMAC TRL, WILLIAMSBURG, VA 23185-5624
(757) 585-1609
Mailing address
940 CHURCHILL LN, NEWPORT NEWS, VA 23608-7727
(757) 870-7303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011634
VA
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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