Charla Ann Wilson
NPI #1174010292 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1174010292
- Entity Type
- Individual
- Name
- Charla Ann Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 13, 2018
- Last Updated
- Apr 13, 2018
Practice Location
- Address
- 2352 E PASS RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39507-3805
- Phone
- (228) 284-2337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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