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Individual

CHRISTINE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
5642 JONES ST, MILTON, FL 32570-2304
(850) 626-7779
(850) 626-7171
Mailing address
64 BLACK BASS BLVD, DEFUNIAK SPRINGS, FL 32433-8522
(850) 333-0813
(850) 333-0813

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH8926
FL

Other

Enumeration date
06/08/2007
Last updated
01/09/2014
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