Individual provider · Type 1 NPI

Fredrick Wilson

Mental Health Counselor · Shreveport, LA

NPI number 1609396233 Active

Practice location

4601 N Market St
Shreveport, LA 71107-2971

Call (318) 424-8735 Map

Fax (318) 424-8739

Mailing address

PO Box 5
Rodessa, LA 71069-0005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609396233

Fredrick Wilson's National Provider Identifier is 1609396233, issued on Jun 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Jul 21, 2022.