Individual provider · Type 1 NPI
Corlissa J. Wilson, ED.D, LPC, NCC, NCSC
Mental Health Counselor · Powder Springs, GA
NPI number
1033732946
Active
Practice location
3217 Warren Creek Dr
Powder Springs, GA 30127-9044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002236 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1033732946
Corlissa J. Wilson, ED.D, LPC, NCC, NCSC's National Provider Identifier is 1033732946, issued on May 26, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Powder Springs, GA. The record was last updated on May 26, 2020.