person
Mr. David John Wilson, MS,LPC
Mental Health Counselor in Gulfport, Mississippi
NPI 1235151598

David John Wilson is a Mental Health Counselor based in Gulfport, MS and is specialized in Mental Health. David John Wilson practices in Gulfport, MS and has the professional credentials of MS,LPC. The NPI Number for David John Wilson is 1235151598 and holds a License No. 453 (Mississippi).

The current practice location address for David John Wilson is 1600 Broad Ave, Gulfport, MS and can be reached out via phone at 228-863-1132 and via fax at 228-865-1700.

Location: 1600 Broad Ave, Gulfport, MS, 39501-3603
person
Provider Profile Details
NPI Number
1235151598
Provider Name
David John Wilson
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1600 Broad Ave, Gulfport, MS, 39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018213 05 MS
institution
Provider Business Practice Location Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider Business Mailing Address Details
Address
1600 Broad Ave
City
State
Zip
39501-3603
Phone Number
228-863-1132
Fax Number
228-865-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
453 (Mississippi)
Definition
Definition to come...
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