Mr. Larry Colenzo Wilson
Mr. Larry Colenzo Wilson is a Mental Health Counselor in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
6224 N Inwood RdShreveport, LA 71119-7213
Phone: (318) 453-0447
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1750869285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2018 |
| Last updated in NPPES | August 6, 2018 |
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