Doctor Name: | MS. KARLENE NATHALIE WILSON |
NPI Number: | 1215212824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2233 Nostrand Ave Brooklyn, NY - 112103045 |
Business Phone Number: | 7188599760 |
Business Fax Number: | 7188599767 |
Mailing Address: | 16911 109th Rd, JAMAICA |
State: | NY |
Postal Code: | 114332919 |
Phone Number: | 5163955679 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2011 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |