Wilson, Clinton Aaron
Wilson, Clinton Aaron is an individual health care provider with primary practice located at 940 Ebenezer Blvd , Madison MS 39110-6002. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Wilson, Clinton Aaron can be contacted via phone (601) 790-0583.Contact Information
Primary practice address
940 Ebenezer Blvd
Madison MS 39110-6002
Phone: (601) 790-0583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | P-0255 | Mississippi |
Profile Details
| NPI number | 1265998132 |
|---|---|
| LBN Legal business name | Wilson, Clinton Aaron |
| Credentials | P-LPC, MAMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2019 |
| Last updated | Feb 15th, 2019 - about 7 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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