Individual provider · Type 1 NPI
Jacquelyne Jones Wilson, MA, LPC
Counselor · Myrtle Beach, SC
NPI number
1386660819
Active
Practice location
4705 Oleander Dr, Myrtle Beach
Myrtle Beach, SC 29577-5751
Mailing address
PO Box 70651
Myrtle Beach, SC 29572-0029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1386660819
Jacquelyne Jones Wilson, MA, LPC's National Provider Identifier is 1386660819, issued on Jul 15, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 3, 2013.