person
Mr. Dallas Randall Wilson, MSW,LSW
Mental Health Counselor in Richmond, Indiana
NPI 1013201292

Dallas Randall Wilson is a Mental Health Counselor based in Muncie, IN and is specialized in Mental Health. Dallas Randall Wilson practices in Richmond, IN and has the professional credentials of MSW,LSW. The NPI Number for Dallas Randall Wilson is 1013201292 and holds a License No. (Indiana).

The current practice location address for Dallas Randall Wilson is 16 Sw 5Th St, Richmond, IN and can be reached out via phone at 765-288-1928 and via fax at 765-935-1582.

Location: 16 Sw 5Th St, Richmond, IN, 47304-3988
person
Provider Profile Details
NPI Number
1013201292
Provider Name
Dallas Randall Wilson
Credential
MSW,LSW
Provider Entity Type
Individual
Gender
Male
Address
16 Sw 5Th St, Richmond, IN, 47304-3988
Phone Number
765-288-1928
Fax Number
765-935-1582
Provider Enumeration Date
06/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16 Sw 5Th St
City
State
Zip
47374-4101
Phone Number
765-288-1928
Fax Number
765-935-1582
person
Provider Business Mailing Address Details
Address
16 Sw 5Th St
City
State
Zip
47374-4101
Phone Number
765-288-1928
Fax Number
765-935-1582
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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