Amanda Wilson's National Provider Identifier (NPI) Details
Amanda Wilson, M.Ed., LPC, NCC
NPI: 1871723239
Enumeration Date: 2009-07-20
Last updated: 2011-09-01
Sole Proprietor: NO
Status: active
Postal Address: 26104 HIGHWAY 4 E, SENATOBIA, MS
Phone: 662-209-4290
Primary Practice Address: 561 N ROBINSON ST, SENATOBIA, MS
Practice's phone: 662-209-4290