Individual provider · Type 1 NPI
Jerome Wilson
Professional Counselor · Thibodaux, LA
NPI number
1922648674
Active
Practice location
100 Diplomat Way
Thibodaux, LA 70301-4314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Psychologist | 103TF0000X | 38-3949990 (LA) |
| Family Psychologist | 103TF0000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1922648674
Jerome Wilson's National Provider Identifier is 1922648674, issued on Jan 10, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thibodaux, LA. The record was last updated on Jan 10, 2020.