Individual
MELISSA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
12247 STRATFORD DR, CLIVE, IA 50325-8147
(515) 393-6702
Mailing address
1847 GORDON CT, NORWALK, IA 50211-1160
(515) 249-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
119399
IA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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