Bertha Wilson

NPI #1477916252 in Bunkie, Louisiana

Provider Information

NPI Number: 1477916252
Entity Type: Individual
Name: Bertha Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 313 JAMES STREET
City: Bunkie
State: Louisiana
ZIP Code: 71322
Phone: (318) 253-3192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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