Individual provider · Type 1 NPI
Michael D. Wilson, MA, MDIV, CEAP, LPC
Professional Counselor · Long Valley, NJ
NPI number
1629130067
Active
Practice location
3 Alexandra Ln
Long Valley, NJ 07853-3458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00053700 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1629130067
Michael D. Wilson, MA, MDIV, CEAP, LPC's National Provider Identifier is 1629130067, issued on Dec 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Long Valley, NJ. The record was last updated on Jul 8, 2007.