Individual
STEPHANIE GIDLEY WILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
2200 W 2ND ST APT A203, GULF SHORES, AL 36542-3639
(251) 200-3050
Mailing address
PO BOX 6785, GULF SHORES, AL 36547-6785
(251) 200-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05325
AL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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