Individual
ANN L. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
333 N DOBSON RD STE 15, CHANDLER, AZ 85224-4412
(480) 282-8336
Mailing address
4314 E ROSEMONTE DR, PHOENIX, AZ 85050-3346
(480) 271-5129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17101
AZ
Other
Enumeration date
06/21/2017
Last updated
05/02/2020
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