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

TaxonomyCodeLicense
Counselor Primary 101Y00000XA14226 (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.