Individual
MS. NICOLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2523
(706) 400-8938
Mailing address
421 12TH ST, COLUMBUS, GA 31901-2523
(706) 400-8938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/19/2024
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