Active NPIIndividual providerSole proprietor

Michael D Wilson, MA, MDIV, CEAP, LPC

Counselor, Professional in Long Valley, New Jersey

NPI Number1629130067
Practice location
3 Alexandra Ln, Long Valley, NJ 07853-3458
Fax
—
Last updated
July 8, 2007

Michael D Wilson is a Counselor, Professional based in Long Valley, NJ. Michael D Wilson practices in Long Valley, NJ and has the professional credentials of MA, MDIV, CEAP, LPC. The NPI Number for Michael D Wilson is 1629130067 and holds a License No. 37PC00053700 (NJ). The current practice location address for Michael D Wilson is 3 Alexandra Ln, Long Valley, NJ 07853-3458 and can be reached out via phone at 908-876-5693.

Provider Profile Details

NPI Number
1629130067
Provider Name
Michael D Wilson
Credential
MA, MDIV, CEAP, LPC
Provider Entity Type
Individual
Gender
Male
Address
3 Alexandra Ln, Long Valley, NJ 07853-3458
Phone Number
908-876-5693
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
December 14, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Alexandra Ln
Long Valley, NJ 07853-3458
Zip
07853-3458
Phone Number
908-876-5693
Long Valley, NJ 07853Get directions →

Provider Business Mailing Address Details

Address
3 Alexandra Ln
Long Valley, NJ 07853-3458
City
Long Valley
State
NJ
Zip
07853-3458
Phone Number
908-876-5693

License Information

License Number
37PC00053700
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael D Wilson, MA, MDIV, CEAP, LPC?

The NPI number of Michael D Wilson, MA, MDIV, CEAP, LPC is 1629130067. It was assigned on December 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael D Wilson, MA, MDIV, CEAP, LPC?

Michael D Wilson, MA, MDIV, CEAP, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00053700.

Where does Michael D Wilson, MA, MDIV, CEAP, LPC practice?

The practice location is 3 Alexandra Ln, Long Valley, NJ 07853-3458. The office can be reached at 908-876-5693 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629130067 directly on the NPPES registry website.

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