Individual provider · Type 1 NPI

Dallas Randall Wilson, MSW, LSW

Mental Health Counselor · Richmond, IN

NPI number 1013201292 Active

Practice location

16 SW 5th St
Richmond, IN 47374-4101

Fax (765) 935-1582

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013201292

Dallas Randall Wilson, MSW, LSW's National Provider Identifier is 1013201292, issued on Jun 5, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, IN. The record was last updated on Nov 21, 2014.