Individual provider · Type 1 NPI
Mary Wilson
Professional Counselor · Summerville, GA
NPI number
1003471632
Active
Practice location
11578 Highway 27
Summerville, GA 30747-5873
Fax (706) 857-7607
Mailing address
PO Box 308
Cartersville, GA 30120-0308
Other practice locations
- 501 Mize St, La Fayette, GA 30728-3346 · (706) 638-5591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 003040 (GA) |
Professional Counselor: Definition to come...
4 other providers at this address
Other professional counselor providers in Summerville
About NPI 1003471632
Mary Wilson's National Provider Identifier is 1003471632, issued on May 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Summerville, GA. The record was last updated on May 8, 2019.