Individual
HEIDI L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
715 STATE ROAD 79, SUITE B, BOYCEVILLE, WI 54725-7535
(715) 643-2445
Mailing address
715 STATE ROAD 79, SUITE B, BOYCEVILLE, WI 54725-7535
(715) 643-2445
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4296-125
WI
Other
Enumeration date
08/13/2009
Last updated
06/21/2016
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