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Nicole Christine Wilson
Mental Health Counselor in St Petersburg, Florida
NPI 1194384610

Nicole Christine Wilson is a Mental Health Counselor based in Saint Petersburg, FL and is specialized in Mental Health. Nicole Christine Wilson practices in St Petersburg, FL. The NPI Number for Nicole Christine Wilson is 1194384610 and holds a License No. IMH17733 (Florida).

The current practice location address for Nicole Christine Wilson is 8081 38Th Ave N, St Petersburg, FL and can be reached out via phone at 727-345-2667.

Location: 8081 38Th Ave N, St Petersburg, FL, 33712-5528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194384610
Provider Name
Nicole Christine Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8081 38Th Ave N, St Petersburg, FL, 33712-5528
Phone Number
727-345-2667
Fax Number
Provider Enumeration Date
06/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8081 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1029
Phone Number
727-345-2667
Fax Number
person
Provider Business Mailing Address Details
Address
8081 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1029
Phone Number
727-345-2667
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH17733 (Florida)
Definition
Definition to come...
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