Vontrell Wilson, LPC
NPI #1205201811 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1205201811
- Entity Type
- Individual
- Name
- Vontrell Wilson, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Dec 8, 2015
- Last Updated
- Dec 8, 2015
Practice Location
- Address
- 801 S LEWIS ST
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70560-4882
- Phone
- (337) 940-1846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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