Individual provider · Type 1 NPI

Jenise Delores Wilson, MS, LPCC

Professional Counselor · Bismarck, ND

NPI number 1063934230 Active

Practice location

1110 College Dr Ste 206
Bismarck, ND 58501-1207

Call (701) 258-2008 Map

Mailing address

507 N 27th St
Bismarck, ND 58501-3115

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X786-6-1-14 (ND)
Professional Counselor Primary 101YP2500X786-6-1-14-293 (ND)

Professional Counselor: Definition to come...

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About NPI 1063934230

Jenise Delores Wilson, MS, LPCC's National Provider Identifier is 1063934230, issued on Jul 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bismarck, ND. The record was last updated on Oct 20, 2022.