Individual provider · Type 1 NPI

Tina Marie Wilson

Mental Health Counselor · Rapid City, SD

NPI number 1720904477 Active

Practice location

2165 Promise Rd
Rapid City, SD 57701-8981

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720904477

Tina Marie Wilson's National Provider Identifier is 1720904477, issued on Jun 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rapid City, SD. The record was last updated on Jun 26, 2026.