Wilson, Jedediah Heath

Wilson, Jedediah Heath is an individual health care provider with primary practice located at 12141 Ladue Rd , Saint Louis MO 63141-8120. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wilson, Jedediah Heath can be contacted via phone (314) 878-4340.

Contact Information

Primary practice address
12141 Ladue Rd Saint Louis MO 63141-8120
Phone: (314) 878-4340
Fax: (314) 842-2552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2022014908 Missouri

Profile Details

NPI number 1679222392
LBN Legal business name Wilson, Jedediah Heath
Credentials MED, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2022
Last updated Jun 13th, 2024 - about last year

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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