Individual provider · Type 1 NPI

Shandra Wilson, LPC

Professional Counselor · Jackson, MS

NPI number 1285043968 Active

Practice location

4500 I 55 N Ste 223
Jackson, MS 39211-5931

Call (337) 764-2065 Map

Mailing address

610 E Leake St
Clinton, MS 39056-4321

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X70098 (TX)
Professional Counselor 101YP2500X4151 (LA)
Professional Counselor Primary 101YP2500X1835 (MS)

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About NPI 1285043968

Shandra Wilson, LPC's National Provider Identifier is 1285043968, issued on Aug 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Nov 13, 2020.