Individual provider · Type 1 NPI
Maxwell S. Wilson
Mental Health Counselor · Longmont, CO
NPI number
1093537110
Active
Practice location
720 100 Year Party Ct, Suite 200
Longmont, CO 80504
Mailing address
148 Granite Dr
Boulder, CO 80302-9784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093537110
Maxwell S. Wilson's National Provider Identifier is 1093537110, issued on Oct 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longmont, CO. The record was last updated on Oct 29, 2024.