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Matthew Blake Wilson
Professional Counselor in Savannah, Tennessee
NPI 1871066456

Matthew Blake Wilson is a Professional Counselor based in Savannah, TN and is specialized in Professional. Matthew Blake Wilson practices in Savannah, TN. The NPI Number for Matthew Blake Wilson is 1871066456 and holds a License No. 4461 (Tennessee).

The current practice location address for Matthew Blake Wilson is 150 E End Dr, Savannah, TN and can be reached out via phone at 731-925-2300.

Location: 150 E End Dr, Savannah, TN, 38372-0655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871066456
Provider Name
Matthew Blake Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 E End Dr, Savannah, TN, 38372-0655
Phone Number
731-925-2300
Fax Number
Provider Enumeration Date
01/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 E End Dr
City
Savannah
State
Tennessee
Zip
38372-1712
Phone Number
731-925-2300
Fax Number
person
Provider Business Mailing Address Details
Address
150 E End Dr
City
Savannah
State
Tennessee
Zip
38372-1712
Phone Number
731-925-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4461 (Tennessee)
Definition
Definition to come...
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