Individual provider · Type 1 NPI
Tiffanie M. Wilson, LPC, LCDC
Mental Health Counselor · Magnolia, TX
NPI number
1356728224
Active
Practice location
10333 Research Forest Dr, #737
Magnolia, TX 77354-6162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12552 (TX) |
| Mental Health Counselor Primary | 101YM0800X | 72327 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1356728224
Tiffanie M. Wilson, LPC, LCDC's National Provider Identifier is 1356728224, issued on Apr 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Magnolia, TX. The record was last updated on Aug 4, 2016.