Individual provider · Type 1 NPI

Brandi Nicole Wilson, PLPC

Mental Health Counselor · Ballwin, MO

NPI number 1972199016 Active

Practice location

301 Sovereign Ct Ste 211
Ballwin, MO 63011-4435

Call (314) 669-6426 Map

Mailing address

4444 W Pine Blvd Apt 416
St. Louis, MO 63108-2349

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2020022458 (MO)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1972199016

Brandi Nicole Wilson, PLPC's National Provider Identifier is 1972199016, issued on Dec 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ballwin, MO. The record was last updated on Dec 14, 2020.