Jack Wildwood, PHD
NPI #1205317906 in Morrisville, Vermont
Provider Information
- NPI Number
- 1205317906
- Entity Type
- Individual
- Name
- Jack Wildwood, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PHD
- Enumeration Date
- Aug 22, 2018
- Last Updated
- Dec 17, 2025
Practice Location
- Address
- 133 GALLERY LN
- City
- Morrisville
- State
- Vermont
- ZIP Code
- 05661-9057
- Phone
- (802) 505-9044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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