Individual provider · Type 1 NPI
Albert Graham Wilson Iv, LPC
Professional Counselor · St. Paul, MN
NPI number
1376604108
Active
Practice location
370 Selby Ave, #316 Union Therapy
St. Paul, MN 55102-1852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 01026 (MN) |
Professional Counselor: Definition to come...
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About NPI 1376604108
Albert Graham Wilson Iv, LPC's National Provider Identifier is 1376604108, issued on Dec 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Paul, MN. The record was last updated on Dec 6, 2012.