Individual
SHANNON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1010 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(410) 567-1117
Mailing address
1010 DULANEY VALLEY RD, TOWSON, MD 21204-2702
(302) 751-5922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/08/2023
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