Lauren Wilson

NPI #1669954582 in Trinidad, Colorado

Provider Information

NPI Number: 1669954582
Entity Type: Individual
Name: Lauren Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 417 S INDIANA AVE
City: Trinidad
State: Colorado
ZIP Code: 81082-3126
Phone: (719) 545-2746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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