person
Michael Wayne Wilson, QMHA
Mental Health Counselor in Medford, Oregon
NPI 1861145948

Michael Wayne Wilson is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Michael Wayne Wilson practices in Medford, OR and has the professional credentials of QMHA. The NPI Number for Michael Wayne Wilson is 1861145948 and holds a License No. 21-QMHA-R-1053 (Oregon).

The current practice location address for Michael Wayne Wilson is 2932 Hillcrest Rd, Medford, OR and can be reached out via phone at 541-727-7669.

Location: 2932 Hillcrest Rd, Medford, OR, 97504-7752
person
Provider Profile Details
NPI Number
1861145948
Provider Name
Michael Wayne Wilson
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
2932 Hillcrest Rd, Medford, OR, 97504-7752
Phone Number
541-727-7669
Fax Number
Provider Enumeration Date
01/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2932 Hillcrest Rd
City
State
Zip
97504-7752
Phone Number
541-727-7669
Fax Number
person
Provider Business Mailing Address Details
Address
2932 Hillcrest Rd
City
State
Zip
97504-7752
Phone Number
541-727-7669
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
21-QMHA-R-1053 (Oregon)
Definition
Definition to come...
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