Individual provider · Type 1 NPI

Nicole Christine Wilson

Mental Health Counselor · St. Petersburg, FL

NPI number 1194384610 Active

Practice location

8081 38th Ave N
St. Petersburg, FL 33710-1029

Call (727) 345-2667 Map

Mailing address

6707 Canton St S
St. Petersburg, FL 33712-5528

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH17733 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1194384610

Nicole Christine Wilson's National Provider Identifier is 1194384610, issued on Jun 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 8, 2019.