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NPI Code Detail

MEDICARE: HANNA WILSON

MEDICARE:   HANNA  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
1101YM0800XMental Health CounselorNJ

General Provider Information

NPI Number : 1033061346
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNA WILSON
Provider Business Mailing Address
First Line : 44 MEADOW RIDGE RD
Second Line :
City : GALLOWAY
State : NJ
Zip : 08205-3209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6821 BLACK HORSE PIKE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4101
Country : US
Telephone Number : 844-422-3832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ HANNA WILSON ” Practice Location

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