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Mr. Jerry Clyde Wilson, MS,LPC
Mental Health Counselor in Nacogdoches, Texas
NPI 1750437158

Jerry Clyde Wilson is a Mental Health Counselor based in Nacogdoches, TX and is specialized in Mental Health. Jerry Clyde Wilson practices in Nacogdoches, TX and has the professional credentials of MS,LPC. The NPI Number for Jerry Clyde Wilson is 1750437158 and holds a License No. 625 (Texas).

The current practice location address for Jerry Clyde Wilson is 3516 Ne Stallings Dr, Nacogdoches, TX and can be reached out via phone at 936-569-6562.

Location: 3516 Ne Stallings Dr, Nacogdoches, TX, 75963-0325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750437158
Provider Name
Jerry Clyde Wilson
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
3516 Ne Stallings Dr, Nacogdoches, TX, 75963-0325
Phone Number
936-569-6562
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3516 Ne Stallings Dr
City
Nacogdoches
State
Texas
Zip
75965-8732
Phone Number
936-569-6562
Fax Number
person
Provider Business Mailing Address Details
Address
3516 Ne Stallings Dr
City
Nacogdoches
State
Texas
Zip
75965-8732
Phone Number
936-569-6562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
625 (Texas)
Definition
Definition to come...
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