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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANDRA WILSON, LPC

Active Sole Proprietor

SHANDRA WILSON, LPC is a Professional Counselor healthcare provider located in JACKSON, Mississippi. NPI 1285043968 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · JACKSON, MS

Registration Details

NPI Number
1285043968
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2014 (11.991761099769 yrs)
Last Updated
Nov 13, 2020
Licenses
70098 (TX)
4151 (LA)
1835 (MS)
Sole Proprietor
Yes

Practice Information

Address
4500 I 55 N STE 223
JACKSON, MS, 392115931
Browse MS providers · Browse ZIP 39211
Phone
3377642065
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in JACKSON, MS

Name Credential NPI
MS. DEBRA LEE CARR L.P.C., L.M.F.T. 1396847885
KARLA RAE SHERMAN MCP, LPC, NCC 1962592170
MR. WILLIAM HUGH FURR JR. LPC, LMFT 1548347131
MR. DENNIS MORGAN HYDRICK JR. L.P.C. 1003982679
BARRY CLINTON CLICK DOCTOR OF MINISTRY 1679618276
KAREN S RICHARDSON LPC 1386770667
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.