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Krista Nichole Wilson
Mental Health Counselor in Brookings, Oregon
NPI 1659154326

Krista Nichole Wilson is a Mental Health Counselor based in Roseburg, OR and is specialized in Mental Health. Krista Nichole Wilson practices in Brookings, OR. The NPI Number for Krista Nichole Wilson is 1659154326 and holds a License No. (Oregon).

The current practice location address for Krista Nichole Wilson is 615 5Th St # 300, Brookings, OR and can be reached out via phone at 877-408-8941.

Location: 615 5Th St # 300, Brookings, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659154326
Provider Name
Krista Nichole Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 5Th St # 300, Brookings, OR, 97470-0254
Phone Number
877-408-8941
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
615 5Th St # 300
City
Brookings
State
Oregon
Zip
97415-9199
Phone Number
877-408-8941
Fax Number
person
Provider Business Mailing Address Details
Address
615 5Th St # 300
City
Brookings
State
Oregon
Zip
97415-9199
Phone Number
877-408-8941
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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