MR. Joe Wilson

NPI #1740540723 in Laie, Hawaii

Provider Information

NPI Number: 1740540723
Entity Type: Individual
Name: MR. Joe Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 23, 2012
Last Updated: May 23, 2012

Practice Location

Address: 55-025 LANIHULI STREET
City: Laie
State: Hawaii
ZIP Code: 96762
Phone: (808) 380-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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