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