Individual provider · Type 1 NPI

Latisha Denise Wilson, LPC, LMFT-A, LCDC-I

Mental Health Counselor · Killeen, TX

NPI number 1447745716 Active

Practice location

507 N 8th St
Killeen, TX 76541-4867

Mailing address

2904 E Stan Schlueter Loop # 68
Killeen, TX 76542-4813

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X33788 (TX)
Mental Health Counselor Primary 101YM0800X79124 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1447745716

Latisha Denise Wilson, LPC, LMFT-A, LCDC-I's National Provider Identifier is 1447745716, issued on Jun 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Killeen, TX. The record was last updated on Dec 11, 2019.