Meredith Garrison Wilson, LCMHC
Counselor, Professional in Gastonia, NC. Individual provider (NPI-1).
NPI number1629596994
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1629596994
- Entity type
- Individual (NPI-1)
- Name
- Meredith Garrison Wilson
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2017
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A13329 | NC | Yes |
| 101YM0800X | Counselor, Mental Health | A13329 | NC | |
| 101YM0800X | Counselor, Mental Health | 13329 | NC |
Practice location
1517 Spencer Mountain RdGastonia, NC 28054-3016
Phone 704-860-8440
Mailing address
233 Lake George DrShelby, NC 28152-6986
Phone 704-860-8440
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