Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHATISHA MATRICE WILSON, MS, LPC, RPT-S, ACS
ActiveSHATISHA MATRICE WILSON, MS, LPC, RPT-S, ACS is a Professional Counselor healthcare provider located in MARTINEZ, Georgia. NPI 1073953253 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MARTINEZ, GA
Registration Details
- NPI Number
- 1073953253
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2013 (13.097746550063 yrs)
- Last Updated
- Jul 3, 2024
- Licenses
-
PC8041 (SC)LPC008626 (GA)
Practice Information
- Address
-
4210 COLUMBIA RD STE 13BMARTINEZ, GA, 309070445Browse GA providers · Browse ZIP 30907
- Phone
- 7064962856
- Fax
- 7623332872
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MARTINEZ, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH RAY GLAZE | LPC | 1790887206 |
| JUDITH L. WOLFE | LPC | 1053494690 |
| MRS. CHERYL ANN CARSWELL | MS, LPC | 1497805758 |
| MR. DELTON WADE DE VOSE | PHD, LPCS, CCS, BCTM | 1194860759 |
| MS. LEANN GAIL JEAN | LPC | 1942332887 |
| MS. ADRIENNE S WILSON | LPC | 1780819458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.