Individual
EMILY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1425 W ELLIOT RD STE 207, GILBERT, AZ 85233-5142
(480) 269-1738
Mailing address
1425 W ELLIOT RD STE 207, GILBERT, AZ 85233-5142
(480) 269-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LMFT-15329
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91800765
—
NM
Enumeration date
05/17/2011
Last updated
12/07/2021
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