Krista Nichole Wilson

NPI #1659154326 in Brookings, Oregon

Provider Information

NPI Number
1659154326
Entity Type
Individual
Name
Krista Nichole Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 16, 2023
Last Updated
Aug 16, 2023

Practice Location

Address
615 5TH ST # 300
State
Oregon
ZIP Code
97415-9199
Phone
(877) 408-8941

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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