Individual
DR. NANCY WILSON SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC
Contact information
Practice address
1224 JACKSON ST N, ST PETERSBURG, FL 33705-1037
(727) 422-4817
Mailing address
1224 JACKSON ST N, ST PETERSBURG, FL 33705-1037
(727) 422-4817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0003049
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
37854
—
101YP2500X
Professional Counselor
Primary
0003049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003049
LMHC
FL
01
—
37854
NCC
—
Enumeration date
11/07/2007
Last updated
11/07/2007
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