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Kandis-ayanna Wilson
Professional Counselor in Florissant, Missouri
NPI 1245932953

Kandis-ayanna Wilson is a Professional Counselor based in Florissant, MO and is specialized in Professional. Kandis-ayanna Wilson practices in Florissant, MO. The NPI Number for Kandis-ayanna Wilson is 1245932953 and holds a License No. 2022021048 (Missouri).

The current practice location address for Kandis-ayanna Wilson is 620 Millstone Dr, Florissant, MO and can be reached out via phone at 314-328-9825.

Location: 620 Millstone Dr, Florissant, MO, 63033-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245932953
Provider Name
Kandis-ayanna Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
620 Millstone Dr, Florissant, MO, 63033-3937
Phone Number
314-328-9825
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 Millstone Dr
City
Florissant
State
Missouri
Zip
63033-3937
Phone Number
314-328-9825
Fax Number
person
Provider Business Mailing Address Details
Address
620 Millstone Dr
City
Florissant
State
Missouri
Zip
63033-3937
Phone Number
314-328-9825
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2022021048 (Missouri)
Definition
Definition to come...
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