Individual provider · Type 1 NPI

Louis Wilson

Professional Counselor · Albuquerque, NM

NPI number 1144201633 Active

Practice location

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Fax (505) 291-2967

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1319 (NM)

Professional Counselor: Definition to come...

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About NPI 1144201633

Louis Wilson's National Provider Identifier is 1144201633, issued on Nov 10, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Albuquerque, NM. The record was last updated on May 2, 2019.