Individual
DANIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3205 CLINTON PKWY, LAWRENCE, KS 66047
(785) 843-5483
Mailing address
5000 CLINTON PKWY, LAWRENCE, KS 66047-8926
(913) 203-8982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2698
KS
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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