Individual provider · Type 1 NPI
Andria Wilson, MS, LPC-MHSP, CET1
Mental Health Counselor · Memphis, TN
NPI number
1013234350
Active
Practice location
4646 Poplar Ave Ste 519
Memphis, TN 38117-4435
Fax (901) 231-7594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 4456 (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1013234350
Andria Wilson, MS, LPC-MHSP, CET1's National Provider Identifier is 1013234350, issued on Apr 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on May 20, 2021.