Organization
PRISCILLA WILSON, LMHP, NCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRISCILLA ANNE WILSON LMHP, NCC (OWNER)
(402) 720-5129
Entity
Organization
Contact information
Practice address
230 E 22ND ST STE 3, FREMONT, NE 68025-2661
(402) 720-5129
(402) 727-4839
Mailing address
230 E 22ND ST STE 3, FREMONT, NE 68025-2661
(402) 720-5129
(402) 727-4839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2417
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025233400
—
NE
Enumeration date
01/27/2012
Last updated
01/27/2012
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