Individual provider · Type 1 NPI
Michael Donavan Wilson
Professional Counselor · Braselton, GA
NPI number
1982268017
Active
Practice location
515 Hellen Valley Dr
Braselton, GA 30517-2161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC016540 (GA) |
Professional Counselor: Definition to come...
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About NPI 1982268017
Michael Donavan Wilson's National Provider Identifier is 1982268017, issued on Apr 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Braselton, GA. The record was last updated on Aug 27, 2026.