person
Larry Dwight Wilson JR., LMHP,LADC,CPC
Mental Health Counselor in Columbus, Nebraska
NPI 1538344908

Larry Dwight Wilson JR. is a Mental Health Counselor based in Omaha, NE and is specialized in Mental Health. Larry Dwight Wilson JR. practices in Columbus, NE and has the professional credentials of LMHP,LADC,CPC. The NPI Number for Larry Dwight Wilson JR. is 1538344908 and holds a License No. 819 (Nebraska).

The current practice location address for Larry Dwight Wilson JR. is 3020 18Th St Suite 17, Columbus, NE and can be reached out via phone at 402-563-3833 and via fax at 402-562-8714.

Location: 3020 18Th St Suite 17, Columbus, NE, 68104-3402
person
Provider Profile Details
NPI Number
1538344908
Provider Name
Larry Dwight Wilson JR.
Credential
LMHP,LADC,CPC
Provider Entity Type
Individual
Gender
Male
Address
3020 18Th St Suite 17, Columbus, NE, 68104-3402
Phone Number
402-563-3833
Fax Number
402-562-8714
Provider Enumeration Date
01/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3020 18Th St Suite 17
City
State
Zip
68601-4254
Phone Number
402-563-3833
Fax Number
402-562-8714
person
Provider Business Mailing Address Details
Address
3020 18Th St Suite 17
City
State
Zip
68601-4254
Phone Number
402-563-3833
Fax Number
402-562-8714
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3523 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1770 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
819 (Nebraska)
Definition
Definition to come...
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