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NPI Code Detail

MEDICARE: PATTY K WILSON LMHP

MEDICARE:   PATTY K WILSON  LMHP
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 Counselor2586NE

General Provider Information

NPI Number : 1225263882
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATTY K WILSON LMHP
Provider Business Mailing Address
First Line : 425 N OAK ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-3764
Country : US
Telephone Number : 308-532-8300
Fax Number : 308-532-4629
Provider Business Practice Location Address
First Line : 425 N OAK ST
Second Line :
City : NORTH PLATTE
State : NE
Zip : 69101-3764
Country : US
Telephone Number : 308-532-8300
Fax Number : 308-532-4629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2009
Last Update Date : 05/26/2009

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Directions to “ PATTY K WILSON LMHP” Practice Location

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