person
Lora Nicole Wilson
Addiction (Substance Use Disorder) Counselor in Kennett, Missouri
NPI 1598305351

Lora Nicole Wilson is an Addiction (Substance Use Disorder) Counselor based in Kennett, MO and is specialized in Addiction (Substance Use Disorder). Lora Nicole Wilson practices in Kennett, MO. The NPI Number for Lora Nicole Wilson is 1598305351 and holds a License No. (Missouri).

The current practice location address for Lora Nicole Wilson is 1109 Jones St, Kennett, MO and can be reached out via phone at 573-888-5925.

Location: 1109 Jones St, Kennett, MO, 63857-3824
person
Provider Profile Details
NPI Number
1598305351
Provider Name
Lora Nicole Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1109 Jones St, Kennett, MO, 63857-3824
Phone Number
573-888-5925
Fax Number
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1109 Jones St
City
State
Zip
63857-3824
Phone Number
573-888-5925
Fax Number
person
Provider Business Mailing Address Details
Address
1109 Jones St
City
State
Zip
63857-3824
Phone Number
573-888-5925
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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