Individual provider · Type 1 NPI

Queen Valencia Wilson

Mental Health Counselor · Cordova, TN

NPI number 1659145605 Active

Practice location

1088 Rogers Rd
Cordova, TN 38018-8546

Mailing address

3763 Belleau St
Memphis, TN 38127-4419

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659145605

Queen Valencia Wilson's National Provider Identifier is 1659145605, issued on Nov 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cordova, TN. The record was last updated on Nov 9, 2023.