Individual provider · Type 1 NPI

Angelique Emily Wilson

Mental Health Counselor · Fort Wayne, IN

NPI number 1851168801 Active

Practice location

6030 E State Blvd
Fort Wayne, IN 46815-7639

Call (260) 245-6374 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851168801

Angelique Emily Wilson's National Provider Identifier is 1851168801, issued on Dec 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 11, 2023.