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Jason Elias Wilson I
Mental Health Counselor in Leesburg, Virginia
NPI 1396307096

Jason Elias Wilson I is a Mental Health Counselor based in Washington, VA and is specialized in Mental Health. Jason Elias Wilson I practices in Leesburg, VA. The NPI Number for Jason Elias Wilson I is 1396307096 and holds a License No. (Virginia).

The current practice location address for Jason Elias Wilson I is 217 S King St, Leesburg, VA and can be reached out via phone at 703-464-7400 and via fax at 703-464-0908.

Location: 217 S King St, Leesburg, VA, 20018-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396307096
Provider Name
Jason Elias Wilson I
Credential
Provider Entity Type
Individual
Gender
Male
Address
217 S King St, Leesburg, VA, 20018-2515
Phone Number
703-464-7400
Fax Number
703-464-0908
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
217 S King St
City
Leesburg
State
Virginia
Zip
20175-2905
Phone Number
703-464-7400
Fax Number
703-464-0908
person
Provider Business Mailing Address Details
Address
217 S King St
City
Leesburg
State
Virginia
Zip
20175-2905
Phone Number
703-464-7400
Fax Number
703-464-0908
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(District of Columbia)
Definition
Definition to come...
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