Wilson, Juan

Wilson, Juan is an sole proprietor health care provider with primary practice located at 9623 Windermere Blvd , Fishers IN 46037-9180. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wilson, Juan can be contacted via phone (888) 416-4646.

Contact Information

Primary practice address
9623 Windermere Blvd Fishers IN 46037-9180
Phone: (888) 416-4646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34010348A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001672A Indiana

Profile Details

NPI number 1356059844
LBN Legal business name Wilson, Juan
Credentials LCSW, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated May 11th, 2023 - about 2 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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