Individual
MRS. HEIDI ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
405 WOODVILLE RD, TOLEDO, OH 43605-2381
(567) 318-3900
(419) 225-8878
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
(419) 225-8878
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0800057-SUPV
OH
101YP2500X
Professional Counselor
E.1300415
OH
Other
Enumeration date
06/09/2016
Last updated
09/21/2020
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