Individual provider · Type 1 NPI

Tanisha Renee Wilson, LMHC

Mental Health Counselor · Medford, MA

NPI number 1497050272 Active

About NPI 1497050272

Tanisha Renee Wilson, LMHC's National Provider Identifier is 1497050272, issued on Jan 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Jun 17, 2021.