Individual provider · Type 1 NPI

Mary Jane Wilson, BSW

Addiction (Substance Use Disorder) Counselor · Marquette, MI

NPI number 1386161040 Active

Practice location

241 Wright St
Marquette, MI 49855-1955

Mailing address

114 Basal Rd
Marquette, MI 49855-9202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386161040

Mary Jane Wilson, BSW's National Provider Identifier is 1386161040, issued on Aug 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marquette, MI. The record was last updated on Aug 24, 2017.