Individual
BETH L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
3 OFFICE PARK CIR, SUITE 105, MOUNTAIN BRK, AL 35223-2510
(205) 745-0533
(205) 802-0773
Mailing address
3 OFFICE PARK CIR, SUITE 105, MOUNTAIN BRK, AL 35223-2510
(205) 745-0533
(205) 802-0773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1809A
AL
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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