Individual
KATELAND WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12503 WILLOWBROOK RD, CUMBERLAND, MD 21502-2554
(301) 759-5050
(301) 777-2098
Mailing address
PO BOX 1745, CUMBERLAND, MD 21501-1745
(301) 759-5050
(301) 777-2098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25504
MD
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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