Taurean S. Wilson, LMHC Valid NPI
Individual provider · Mental Health Counselor · Palm Coast, FL
- NPI
- 1265026298
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- MH15455 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-02-20
- Last updated
- 2021-02-20
Practice location
13 Ranwood Ln
Palm Coast, FL 32164-6802
(386) 385-8173