institution
Michele L Wilson
Mental Health Counselor in Palm Beach Gardens, Florida
NPI 1205231404

Michele L Wilson is a Mental Health Counselor based in Jupiter, FL and is specialized in Mental Health. Michele L Wilson practices in Palm Beach Gardens, FL. The NPI Number for Michele L Wilson is 1205231404 and holds a License No. MH12108 (Florida).

The current practice location address for Michele L Wilson is 400 Village Square Xing, Palm Beach Gardens, FL and can be reached out via phone at 561-308-0814 and via fax at 561-444-4444.

Location: 400 Village Square Xing, Palm Beach Gardens, FL, 33458-6724
institution
Provider Profile Details
NPI Number
1205231404
Provider Name
Michele L Wilson
Credential
Provider Entity Type
Organization
Address
400 Village Square Xing, Palm Beach Gardens, FL, 33458-6724
Phone Number
561-308-0814
Fax Number
561-444-4444
Provider Enumeration Date
10/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH12108 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
400 Village Square Xing
City
State
Zip
33410-3227
Phone Number
561-308-0814
Fax Number
561-444-4444
person
Provider Business Mailing Address Details
Address
400 Village Square Xing
City
State
Zip
33410-3227
Phone Number
561-308-0814
Fax Number
561-444-4444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH12108 (Florida)
Definition
Definition to come...
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