Natasha Nicole Wilson, LPC-A, LCDC-I
Counselor, Mental Health in Killeen, TX. Individual provider (NPI-1).
NPI number1043973365
StatusActive
Last updated in NPPESOct 14, 2021
Details
- NPI
- 1043973365
- Entity type
- Individual (NPI-1)
- Name
- Ms. Natasha Nicole Wilson
- Credential
- LPC-A, LCDC-I
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2021
- Certification date
- Oct 14, 2021
- Last updated
- Oct 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 83758 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 47819 | TX |
Practice location
507 N 8th StKilleen, TX 76541-4867
Phone 254-598-4334
Mailing address
507 N 8th StKilleen, TX 76541-4867
Phone 903-905-3578
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