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Latisha Denise Wilson, LPC,LMFT-A,LCDC-I
Mental Health Counselor in Killeen, Texas
NPI 1447745716

Latisha Denise Wilson is a Mental Health Counselor based in Killeen, TX and is specialized in Mental Health. Latisha Denise Wilson practices in Killeen, TX and has the professional credentials of LPC,LMFT-A,LCDC-I. The NPI Number for Latisha Denise Wilson is 1447745716 and holds a License No. 33788 (Texas).

The current practice location address for Latisha Denise Wilson is 507 N 8Th St, Killeen, TX and can be reached out via phone at 254-523-6710.

Location: 507 N 8Th St, Killeen, TX, 76542-4813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447745716
Provider Name
Latisha Denise Wilson
Credential
LPC,LMFT-A,LCDC-I
Provider Entity Type
Individual
Gender
Female
Address
507 N 8Th St, Killeen, TX, 76542-4813
Phone Number
254-523-6710
Fax Number
Provider Enumeration Date
06/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
403747501 05 TX
institution
Provider Business Practice Location Address Details
Address
507 N 8Th St
City
Killeen
State
Texas
Zip
76541-4867
Phone Number
254-523-6710
Fax Number
person
Provider Business Mailing Address Details
Address
507 N 8Th St
City
Killeen
State
Texas
Zip
76541-4867
Phone Number
254-523-6710
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
79124 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
33788 (Texas)
Definition
Definition to come...
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