Wilson, Teri

Wilson, Teri is an sole proprietor health care provider with primary practice located at 4203 Southpoint Blvd , Jacksonville FL 32216-6164. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wilson, Teri can be contacted via phone (904) 296-1055.

Contact Information

Primary practice address
4203 Southpoint Blvd Jacksonville FL 32216-6164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMT1467 Florida

Profile Details

NPI number 1740645241
LBN Legal business name Wilson, Teri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2015
Last updated Dec 28th, 2015 - about 11 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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