Jennifer Wilson

NPI #1821487687 in White, Georgia

Provider Information

NPI Number: 1821487687
Entity Type: Individual
Name: Jennifer Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 16, 2015
Last Updated: Jan 16, 2015

Practice Location

Address: 30 LAKE OVERLOOK DR
City: White
State: Georgia
ZIP Code: 30184-4813
Phone: (770) 516-1050

Specialties & Taxonomy Codes

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

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