Individual provider · Type 1 NPI

Jordan Dare Wilson, LPC

Professional Counselor · Ruckersville, VA

NPI number 1194542944 Active

Practice location

8767 Seminole Trl Ste 101
Ruckersville, VA 22968-3494

Call (434) 990-1744 Map

Fax (434) 939-9401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0701014012 (VA)
Professional Counselor Primary 101YP2500X0701014012 (VA)

Professional Counselor: Definition to come...

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About NPI 1194542944

Jordan Dare Wilson, LPC's National Provider Identifier is 1194542944, issued on Sep 23, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ruckersville, VA. The record was last updated on Sep 23, 2024.