institution
Jacqueline S. Wilson, M.d., P.c.
Adult Mental Health Clinic/Center in Bozeman, Montana
NPI 1194822049

Jacqueline S. Wilson, M.d., P.c. is an Adult Mental Health Clinic/Center based in Bozeman, MT and is specialized in Adult Mental Health. Jacqueline S. Wilson, M.d., P.c. practices in Bozeman, MT. The NPI Number for Jacqueline S. Wilson, M.d., P.c. is 1194822049 and holds a License No. 8315 (Montana).

The current practice location address for Jacqueline S. Wilson, M.d., P.c. is 321 E Main St, Bozeman, MT and can be reached out via phone at 406-586-7515 and via fax at 406-522-0481.

Location: 321 E Main St, Bozeman, MT, 59715-6241
institution
Provider Profile Details
NPI Number
1194822049
Provider Name
Jacqueline S. Wilson, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
321 E Main St, Bozeman, MT, 59715-6241
Phone Number
406-586-7515
Fax Number
406-522-0481
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93296 01 MT BCBS
0152425 05 MT
institution
Provider Business Practice Location Address Details
Address
321 E Main St
City
State
Zip
59715-6241
Phone Number
406-586-7515
Fax Number
406-522-0481
person
Provider Business Mailing Address Details
Address
321 E Main St
City
State
Zip
59715-6241
Phone Number
406-586-7515
Fax Number
406-522-0481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
8315 (Montana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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