person
Michael Ryan Wilson, MA
Mental Health Counselor in Greenville, South Carolina
NPI 1770851834

Michael Ryan Wilson is a Mental Health Counselor based in Greenville, SC and is specialized in Mental Health. Michael Ryan Wilson practices in Greenville, SC and has the professional credentials of MA. The NPI Number for Michael Ryan Wilson is 1770851834 and holds a License No. (South Carolina).

The current practice location address for Michael Ryan Wilson is 124 Mallard St, Greenville, SC and can be reached out via phone at 864-241-1040 and via fax at 864-241-1124.

Location: 124 Mallard St, Greenville, SC, 29601-4046
person
Provider Profile Details
NPI Number
1770851834
Provider Name
Michael Ryan Wilson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
124 Mallard St, Greenville, SC, 29601-4046
Phone Number
864-241-1040
Fax Number
864-241-1124
Provider Enumeration Date
12/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121328 05 SC
institution
Provider Business Practice Location Address Details
Address
124 Mallard St
City
State
Zip
29601-4046
Phone Number
864-241-1040
Fax Number
864-241-1124
person
Provider Business Mailing Address Details
Address
124 Mallard St
City
State
Zip
29601-4046
Phone Number
864-241-1040
Fax Number
864-241-1124
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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