Individual provider · Type 1 NPI

Shantia Marie Wilson

Professional Counselor · Burlington, NJ

NPI number 1407289507 Active

Practice location

60 Cathy Ln
Burlington, NJ 08016-9727

Call (609) 499-0603 Map

Mailing address

18 Peachtree Ln
Burlington, NJ 08016-2304

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1407289507

Shantia Marie Wilson's National Provider Identifier is 1407289507, issued on Aug 13, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Burlington, NJ. The record was last updated on Aug 13, 2013.