Individual provider · Type 1 NPI

Jason Wiltz

Mental Health Counselor · Port Allen, LA

NPI number 1568097947 Active

Practice location

415 Court St
Port Allen, LA 70767-2747

Fax (225) 245-9073

Mailing address

2589 Creek Hollow Ave
Zachary, LA 70791-2773

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1568097947

Jason Wiltz's National Provider Identifier is 1568097947, issued on Mar 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Allen, LA. The record was last updated on Mar 6, 2020.