Individual
TIFFANY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, LCDC, LSOTP
Contact information
Practice address
4220 CARTWRIGHT RD STE 401, MISSOURI CITY, TX 77459-5310
(346) 440-1800
Mailing address
100 POSTMASTER DR UNIT 876, MCDONOUGH, GA 30253-2808
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203929
GA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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