Individual provider · Type 1 NPI

Johana Wilson

Mental Health Counselor · Watkinsville, GA

NPI number 1194293175 Active

Practice location

1020 Barber Creek Dr Ste 313
Watkinsville, GA 30677-5996

Call (229) 425-2763 Map

Mailing address

130 Burgundy Ct
Athens, GA 30601-1376

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194293175

Johana Wilson's National Provider Identifier is 1194293175, issued on Nov 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watkinsville, GA. The record was last updated on Nov 7, 2018.