Individual
BRENDA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
MANATEE SERVICE CENTER, 600 301 BLVD - SUITE 144, BRADENTON, FL 34205
(941) 741-2981
(941) 741-2981
Mailing address
10526 OLD GROVE CIR, BRADENTON, FL 34212-2604
(813) 857-4154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 6766
FL
Other
Enumeration date
05/01/2007
Last updated
12/13/2007
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