Individual provider · Type 1 NPI
Kandis-Ayanna Wilson
Professional Counselor · St. Louis, MO
NPI number
1245932953
Active
Practice location
4144 Lindell Blvd Ste 319
St. Louis, MO 63108-2953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2022021048 (MO) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1245932953
Kandis-Ayanna Wilson's National Provider Identifier is 1245932953, issued on Mar 20, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jan 28, 2025.