person
Dr. Mia R Wilson, EDD
Mental Health Counselor in Jacksonville, Florida
NPI 1912921743

Mia R Wilson is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Mia R Wilson practices in Jacksonville, FL and has the professional credentials of EDD. The NPI Number for Mia R Wilson is 1912921743 and holds a License No. 2435 (Florida).

The current practice location address for Mia R Wilson is 5379 Lenox Ave, Jacksonville, FL and can be reached out via phone at 904-891-6614 and via fax at 904-378-9922. You can also correspond with Mia R Wilson through the mailing address at P.O. BOX 8056, JACKSONVILLE, FL - 32211 (mailing address contact number: 904-891-6614).

Location: 5379 Lenox Ave, Jacksonville, FL, 32211
person
Provider Profile Details
NPI Number
1912921743
Provider Name
Mia R Wilson
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
5379 Lenox Ave, Jacksonville, FL, 32211
Phone Number
904-891-6614
Fax Number
904-378-9922
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5379 Lenox Ave
City
State
Zip
32205-4737
Phone Number
904-891-6614
Fax Number
904-378-9922
person
Provider Business Mailing Address Details
Address
5379 Lenox Ave
City
State
Zip
32205-4737
Phone Number
904-891-6614
Fax Number
904-378-9922
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
MH8078 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2435 (Florida)
Definition
Definition to come...
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