Individual provider · Type 1 NPI

Vontrell Wilson, LPC

Professional Counselor · New Iberia, LA

NPI number 1205201811 Active

Practice location

801 S Lewis St
New Iberia, LA 70560-4882

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5059 (LA)

Professional Counselor: Definition to come...

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About NPI 1205201811

Vontrell Wilson, LPC's National Provider Identifier is 1205201811, issued on Dec 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Iberia, LA. The record was last updated on Dec 8, 2015.