Individual provider · Type 1 NPI
Tennille Kristine Wilson, LPCA
Counselor · Fayetteville, NC
NPI number
1467014746
Active
Practice location
6415 Camden Rd Ste 109
Fayetteville, NC 28306-7584
Mailing address
6880 Blake Rd
Stedman, NC 28391-8667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | A14226 (NC) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1467014746
Tennille Kristine Wilson, LPCA's National Provider Identifier is 1467014746, issued on Jul 8, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 8, 2019.