MS. Codie Jo Wilson, LPC

NPI #1588761720 in Pagosa Springs, Colorado

Provider Information

NPI Number: 1588761720
Entity Type: Individual
Name: MS. Codie Jo Wilson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: LPC
Enumeration Date: Sep 20, 2006
Last Updated: Jul 12, 2021

Practice Location

Address: 56 TALISMAN DR
City: Pagosa Springs
State: Colorado
ZIP Code: 81147-9169
Phone: (970) 903-7192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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