Wilson, Earl

Wilson, Earl is an individual health care provider with primary practice located at 6205 Hanging Moss Rd , Jackson MS 39206-2121. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wilson, Earl can be contacted via phone (601) 982-3997.

Contact Information

Primary practice address
6205 Hanging Moss Rd Jackson MS 39206-2121
Phone: (601) 982-3997
Fax: (601) 982-8933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001450 Indiana

Profile Details

NPI number 1164630018
LBN Legal business name Wilson, Earl
Credentials REV, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 18 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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