Individual provider · Type 1 NPI

Shirise Wilson

Mental Health Counselor · Englewood, NJ

NPI number 1336532282 Active

Practice location

93 W Palisade Ave
Englewood, NJ 07631-2611

Fax (201) 567-9335

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336532282

Shirise Wilson's National Provider Identifier is 1336532282, issued on Mar 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Englewood, NJ. The record was last updated on Mar 16, 2015.