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Dr. Jeff Randall Wilson
Pastoral Counselor in Gary, Indiana
NPI 1598906935

Jeff Randall Wilson is a Pastoral Counselor based in Gary, IN and is specialized in Pastoral. Jeff Randall Wilson practices in Gary, IN. The NPI Number for Jeff Randall Wilson is 1598906935 and holds a License No. (Indiana).

The current practice location address for Jeff Randall Wilson is 141 W 46Th Ave, Gary, IN and can be reached out via phone at 219-614-0793.

Location: 141 W 46Th Ave, Gary, IN, 46408-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598906935
Provider Name
Jeff Randall Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
141 W 46Th Ave, Gary, IN, 46408-3905
Phone Number
219-614-0793
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
141 W 46Th Ave
City
Gary
State
Indiana
Zip
46408-3905
Phone Number
219-614-0793
Fax Number
person
Provider Business Mailing Address Details
Address
141 W 46Th Ave
City
Gary
State
Indiana
Zip
46408-3905
Phone Number
219-614-0793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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