Individual provider · Type 1 NPI
Shannon Marie Wilson, LMHC, CRC, CADC
Mental Health Counselor · Cedar Rapids, IA
NPI number
1629417746
Active
Practice location
1570 42nd St NE Ste 2A
Cedar Rapids, IA 52402-3073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001593 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1629417746
Shannon Marie Wilson, LMHC, CRC, CADC's National Provider Identifier is 1629417746, issued on Jun 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cedar Rapids, IA. The record was last updated on Sep 9, 2013.