Doctor Name: | MS. SHEILAH M. WILSON |
NPI Number: | 1225193790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LISAC, NCC |
License Number: | NCC-75942 |
Business Practice Address: | 617 N Humphreys St Suite 101 Flagstaff, AZ - 860013063 |
Business Phone Number: | 9287793783 |
Business Fax Number: | 9287731150 |
Mailing Address: | 617 N Humphreys St, Suite 101 FLAGSTAFF |
State: | AZ |
Postal Code: | 860013063 |
Phone Number: | 9287793783 |
Fax Number: | 9287731150 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | NCC-75942 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AZ |
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 |