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Mrs. Shirley Jo Wilson, LPC
Counselor in Jackson, Michigan
NPI 1780828699

Shirley Jo Wilson is a Counselor based in Manitou Beach, MI. Shirley Jo Wilson practices in Jackson, MI and has the professional credentials of LPC. The NPI Number for Shirley Jo Wilson is 1780828699 and holds a License No. (Michigan).

The current practice location address for Shirley Jo Wilson is 1200 N West Ave, Jackson, MI and can be reached out via phone at 517-789-1209.

Location: 1200 N West Ave, Jackson, MI, 49253-9784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780828699
Provider Name
Shirley Jo Wilson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1200 N West Ave, Jackson, MI, 49253-9784
Phone Number
517-789-1209
Fax Number
Provider Enumeration Date
04/22/2009
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12550792 01 MI CAQH
institution
Provider Business Practice Location Address Details
Address
1200 N West Ave
City
Jackson
State
Michigan
Zip
49202-2179
Phone Number
517-789-1209
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N West Ave
City
Jackson
State
Michigan
Zip
49202-2179
Phone Number
517-789-1209
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Michigan)
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.
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