person
Shatisha Matrice Wilson, MS,LPC,RPT-S,ACS
Professional Counselor in Martinez, Georgia
NPI 1073953253

Shatisha Matrice Wilson is a Professional Counselor based in Evans, GA and is specialized in Professional. Shatisha Matrice Wilson practices in Martinez, GA and has the professional credentials of MS,LPC,RPT-S,ACS. The NPI Number for Shatisha Matrice Wilson is 1073953253 and holds a License No. PC8041 (Georgia).

The current practice location address for Shatisha Matrice Wilson is 4210 Columbia Rd Ste 13B, Martinez, GA and can be reached out via phone at 706-496-2856 and via fax at 762-333-2872.

Location: 4210 Columbia Rd Ste 13B, Martinez, GA, 30809-0079
person
Provider Profile Details
NPI Number
1073953253
Provider Name
Shatisha Matrice Wilson
Credential
MS,LPC,RPT-S,ACS
Provider Entity Type
Individual
Gender
Female
Address
4210 Columbia Rd Ste 13B, Martinez, GA, 30809-0079
Phone Number
706-496-2856
Fax Number
762-333-2872
Provider Enumeration Date
07/02/2013
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
4210 Columbia Rd Ste 13B
City
State
Zip
30907-0445
Phone Number
706-496-2856
Fax Number
762-333-2872
person
Provider Business Mailing Address Details
Address
4210 Columbia Rd Ste 13B
City
State
Zip
30907-0445
Phone Number
706-496-2856
Fax Number
762-333-2872
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC8041 (South Carolina)
Definition
Definition to come...
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