Individual provider · Type 1 NPI
Jason Scott Wilson
Professional Counselor · Rogers, AR
NPI number
1972018760
Active
Practice location
1225 W Hudson Rd, Telehealth Only
Rogers, AR 72756
Mailing address
PO Box 2272
Harrison, AR 72602-2272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | A1703190 (AR) |
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | P2112003 (AR) |
Professional Counselor: Definition to come...
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About NPI 1972018760
Jason Scott Wilson's National Provider Identifier is 1972018760, issued on Dec 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rogers, AR. The record was last updated on Feb 22, 2024.