Individual
CARRIE L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1121 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 685-9916
(813) 657-1049
Mailing address
1121 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 685-9916
(813) 657-1049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH4662
FL
Other
Enumeration date
11/11/2006
Last updated
04/12/2017
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