Individual provider · Type 1 NPI

Jedediah Heath Wilson, MED, LPC, NCC

Professional Counselor · St. Louis, MO

NPI number 1679222392 Active

Practice location

5501 Delmar Blvd Ste B300
St. Louis, MO 63112-3078

Call (314) 469-4908 Map

Mailing address

6705 Parkwood Pl
St. Louis, MO 63116-2153

Other practice locations

  • 12141 Ladue Rd, St. Louis, MO 63141-8120 · (314) 878-4340

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor 101Y00000X2022014908 (MO)
Clinical Social Worker 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1679222392

Jedediah Heath Wilson, MED, LPC, NCC's National Provider Identifier is 1679222392, issued on Mar 21, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Sep 9, 2024.