Individual
MS. VIRGINIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1212 E CANAL ST, PICAYUNE, MS 39466-4706
(601) 559-6616
Mailing address
19411 HELENBERG RD STE 101, COVINGTON, LA 70433-5199
(985) 893-2522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2850
LA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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