Wilson, Corlissa J
Wilson, Corlissa J is an sole proprietor health care provider with primary practice located at 3217 Warren Creek Dr , Powder Springs GA 30127-9044. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilson, Corlissa J can be contacted via phone (404) 435-3388.Contact Information
Primary practice address
3217 Warren Creek Dr
Powder Springs GA 30127-9044
Phone: (404) 435-3388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 002236 | Georgia |
Profile Details
| NPI number | 1033732946 |
|---|---|
| LBN Legal business name | Wilson, Corlissa J |
| Credentials | ED.D, LPC, NCC, NCSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2020 |
| Last updated | May 26th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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