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NPI Code Detail

MEDICARE: WILSON COUNSELING & ASSESSMENT

MEDICARE: WILSON COUNSELING & ASSESSMENT
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
1103TC0700XClinical Psychologist

General Provider Information

NPI Number : 1841935202
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILSON COUNSELING & ASSESSMENT
Provider Business Mailing Address
First Line : 3050 TERESA AVE
Second Line :
City : HUEYTOWN
State : AL
Zip : 35023-3043
Country : US
Telephone Number : 205-616-3353
Fax Number :
Provider Business Practice Location Address
First Line : 3 OFFICE PARK CIR STE 230
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-616-3353
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL PSYCHOLOGIST
Name : DR. MICHAEL W. WILSON
Credential : PHD
Telephone Number : 205-616-3353
Provider Enumeration Date : 04/30/2022
Last Update Date : 09/06/2023

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Directions to “WILSON COUNSELING & ASSESSMENT ” Practice Location

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