Lorraine Marie Wilson, LPCA
Counselor, Professional in Fayetteville, NC. Individual provider (NPI-1).
NPI number1982123451
StatusActive
Last updated in NPPESSep 15, 2017
Details
- NPI
- 1982123451
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lorraine Marie Wilson
- Credential
- LPCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2017
- Last updated
- Sep 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | A13242 | NC | Yes |
Practice location
901 Arsenal Ave Ste 202Fayetteville, NC 28305-5478
Phone 910-323-3368
Mailing address
3413 Tansey Close DrWilmington, NC 28409-3690
Phone 910-990-1119
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