Individual
STEPHANIE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAPC, NCC
Contact information
Practice address
2486 CEDARCREST RD STE 724, ACWORTH, GA 30101
(770) 547-5281
Mailing address
314 BRIAR PATCH LN, CARTERSVILLE, GA 30120-4046
(770) 547-5281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010167
GA
Other
Enumeration date
01/22/2025
Last updated
02/09/2026
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