Tanisha Shanise Wilson
NPI #1952136681 in Casselberry, Florida
Provider Information
- NPI Number
- 1952136681
- Entity Type
- Individual
- Name
- Tanisha Shanise Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 3, 2024
- Last Updated
- Sep 3, 2024
Practice Location
- Address
- 1211 STATE ROAD 436 STE 171
- City
- Casselberry
- State
- Florida
- ZIP Code
- 32707-6442
- Phone
- (407) 894-1708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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