person
Shane Wilson, MS,LMHC
Mental Health Counselor in Miami, Florida
NPI 1164182135

Shane Wilson is a Mental Health Counselor based in Miami, FL and is specialized in Mental Health. Shane Wilson practices in Miami, FL and has the professional credentials of MS,LMHC. The NPI Number for Shane Wilson is 1164182135 and holds a License No. MH20043 (Florida).

The current practice location address for Shane Wilson is 7777 Sw 86 St Bldg F1, Miami, FL and can be reached out via phone at 786-444-1735.

Location: 7777 Sw 86 St Bldg F1, Miami, FL, 33143
person
Provider Profile Details
NPI Number
1164182135
Provider Name
Shane Wilson
Credential
MS,LMHC
Provider Entity Type
Individual
Gender
Male
Address
7777 Sw 86 St Bldg F1, Miami, FL, 33143
Phone Number
786-444-1735
Fax Number
Provider Enumeration Date
12/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7777 Sw 86 St Bldg F1
City
State
Zip
33143
Phone Number
786-444-1735
Fax Number
person
Provider Business Mailing Address Details
Address
7777 Sw 86 St Bldg F1
City
State
Zip
33143
Phone Number
786-444-1735
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH20043 (Florida)
Definition
Definition to come...
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