Individual provider · Type 1 NPI
Jory D. Wilson
Mental Health Counselor · San Jose, CA
NPI number
1154160786
Active
Practice location
5504 Deep Purple Way
San Jose, CA 95123-1309
Mailing address
52 Michael Dr Apt 36
Campbell, CA 95008-3227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | AMFT145913 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1154160786
Jory D. Wilson's National Provider Identifier is 1154160786, issued on May 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on May 22, 2024.