Individual
ANDREA LYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
16703 EARLY RISER AVE STE 108, LAND O LAKES, FL 34638-0192
(813) 679-9860
Mailing address
16703 EARLY RISER AVE STE 108, LAND O LAKES, FL 34638-0192
(813) 679-9860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21772
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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