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Michael Ryan Wilson, MA
Counselor in Easley, South Carolina
NPI 1770851834

Michael Ryan Wilson is a Counselor based in Greenville, SC. Michael Ryan Wilson practices in Easley, 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 112 John St Ste 101, Easley, SC and can be reached out via phone at 864-442-7585 and via fax at 864-859-9648.

Location: 112 John St Ste 101, Easley, SC, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770851834
Provider Name
Michael Ryan Wilson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
112 John St Ste 101, Easley, SC, 29601-2842
Phone Number
864-442-7585
Fax Number
864-859-9648
Provider Enumeration Date
12/05/2011
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
121328 05 SC
institution
Provider Business Practice Location Address Details
Address
112 John St Ste 101
City
Easley
State
South Carolina
Zip
29640-1405
Phone Number
864-442-7585
Fax Number
864-859-9648
person
Provider Business Mailing Address Details
Address
112 John St Ste 101
City
Easley
State
South Carolina
Zip
29640-1405
Phone Number
864-442-7585
Fax Number
864-859-9648
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6681 (South Carolina)
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
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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