Lora Nicole Wilson Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Kennett, MO

NPI

1598305351

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

Sex

Female

Sole proprietor

No

Enumerated

2020-01-09

Last updated

2020-01-09