Female

Ms. Marquita L. Wilson M.ED., CMHT, LPC

Professional Counselor in Choctaw, MS(View on Map)

Full Name

Ms. Marquita Lachette Wilson M.ED., CMHT, LPC

NPI Number

1003424078

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/16/2020

Specialties

(Taxonomies)

Code

101YP2500X
101Y00000X
101YS0200X

Primary Taxonomy

Yes
No
No

Licenses

State

Mississippi
Mississippi

License Number

2729
324167

Contact
Information

Purpose

Mailing
Location

Address

125 RIVER RIDGE CIR
125 RIVER RIDGE CIR

City

Choctaw
Choctaw

State

MS
MS

Postal Code

39350-1009
39350-1009

Country

US
US

Telephone Number

(601) 663-7917
(601) 663-7917

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/10/2021

Provider Address