Wilson, Anna Michaele

Wilson, Anna Michaele is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Anna Michaele can be contacted via phone (573) 632-5570.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2003020116 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2003020116 Missouri

Profile Details

NPI number 1275531741
LBN Legal business name Wilson, Anna Michaele
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275531741 NPPES
Missouri Other 2003020116 LCSW LICENSURE

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