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Charles Jay Wilson, MA,PLPC
Professional Counselor in Bolivar, Missouri
NPI 1750744678

Charles Jay Wilson is a Professional Counselor based in Bolivar, MO and is specialized in Professional. Charles Jay Wilson practices in Bolivar, MO and has the professional credentials of MA,PLPC. The NPI Number for Charles Jay Wilson is 1750744678 and holds a License No. 2016008451 (Missouri).

The current practice location address for Charles Jay Wilson is 711 N Market Ave, Bolivar, MO and can be reached out via phone at 417-399-1793.

Location: 711 N Market Ave, Bolivar, MO, 65613-1114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750744678
Provider Name
Charles Jay Wilson
Credential
MA,PLPC
Provider Entity Type
Individual
Gender
Male
Address
711 N Market Ave, Bolivar, MO, 65613-1114
Phone Number
417-399-1793
Fax Number
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
711 N Market Ave
City
Bolivar
State
Missouri
Zip
65613-1114
Phone Number
417-399-1793
Fax Number
person
Provider Business Mailing Address Details
Address
711 N Market Ave
City
Bolivar
State
Missouri
Zip
65613-1114
Phone Number
417-399-1793
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2016008451 (Missouri)
Definition
Definition to come...
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