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James Wilson, LPC
Mental Health Counselor in Defiance, Ohio
NPI 1871758391

James Wilson is a Mental Health Counselor based in Defiance, OH and is specialized in Mental Health. James Wilson practices in Defiance, OH and has the professional credentials of LPC. The NPI Number for James Wilson is 1871758391 and holds a License No. C.0000811 (Ohio).

The current practice location address for James Wilson is 211 Biede Ave, Defiance, OH and can be reached out via phone at 419-782-8856.

Location: 211 Biede Ave, Defiance, OH, 43512-2408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871758391
Provider Name
James Wilson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
211 Biede Ave, Defiance, OH, 43512-2408
Phone Number
419-782-8856
Fax Number
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C.0000811 01 OH LICENSE
institution
Provider Business Practice Location Address Details
Address
211 Biede Ave
City
Defiance
State
Ohio
Zip
43512-2408
Phone Number
419-782-8856
Fax Number
person
Provider Business Mailing Address Details
Address
211 Biede Ave
City
Defiance
State
Ohio
Zip
43512-2408
Phone Number
419-782-8856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.0000811 (Ohio)
Definition
Definition to come...
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