Individual
DR. PRISCILLA GANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
1028 W 13TH ST, ANNISTON, AL 36201-4434
(205) 534-6539
Mailing address
1028 W 13TH ST, ANNISTON, AL 36201-4434
(205) 534-6539
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3146
AL
101YM0800X
Mental Health Counselor
3146
AL
101YP2500X
Professional Counselor
3146
AL
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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