Individual
MRS. LYNETTA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8325 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 245-5095
(225) 245-5096
Mailing address
8325 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 245-5095
(225) 245-5096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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