Individual provider · Type 1 NPI
Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS
Professional Counselor · Martinez, GA
NPI number
1073953253
Active
Practice location
4210 Columbia Rd Ste 13B
Martinez, GA 30907-0445
Fax (762) 333-2872
Mailing address
PO Box 3134
Evans, GA 30809-0079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | PC8041 (SC) |
| Professional Counselor Primary | 101YP2500X | LPC008626 (GA) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Martinez
- Latasha Abraham, LPCProfessional Counselor Martinez, GA NPI 1023564101
- Judith L. Wolfe, LPCProfessional Counselor Martinez, GA NPI 1053494690
- Elizabeth BoswellProfessional Counselor Martinez, GA NPI 1134840234
- Melodie Creager Good, M.A., L.P.C.Professional Counselor Martinez, GA NPI 1144568700
- Delton Wade De Vose, PhD, LPCS, CCS, BCTMProfessional Counselor Martinez, GA NPI 1194860759
- Donna Collins McDaniel, LPCProfessional Counselor Martinez, GA NPI 1235669888
- Malissa Yvette Collins, LPCProfessional Counselor Martinez, GA NPI 1265083489
- Jessica Stringfield Edwards, MA, MSWProfessional Counselor Martinez, GA NPI 1285290312
About NPI 1073953253
Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS's National Provider Identifier is 1073953253, issued on Jul 2, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Martinez, GA. The record was last updated on Jul 3, 2024.