MEDICARE: MS. KAREEMA E WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CI5058	NV

General Provider Information

NPI Number	:	1205189842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREEMA E WILSON

Provider Business Mailing Address
First Line	:	6216 GOVETT CRESCENT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4822
Country	:	US
Telephone Number	:	602-820-8588
Fax Number	:

Provider Business Practice Location Address
First Line	:	6216 GOVETT CRESCENT CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-4822
Country	:	US
Telephone Number	:	602-820-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	05/08/2024

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