Individual
DONNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801561
OH
101YP2500X
Professional Counselor
Primary
E.2303577
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
QMHS
—
Enumeration date
12/27/2017
Last updated
07/07/2023
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