Individual
ADRIENNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(978) 273-7998
Mailing address
228 NEWBURYPORT TPKE, NEWBURY, MA 01922-2720
(978) 273-7998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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