Individual provider · Type 1 NPI

Jeannie Wilson

Mental Health Counselor · Bossier City, LA

NPI number 1982141610 Active

Practice location

2285 Benton Rd, Suite D-103
Bossier City, LA 71111-7933

Fax (318) 584-7080

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982141610

Jeannie Wilson's National Provider Identifier is 1982141610, issued on Jan 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bossier City, LA. The record was last updated on Jan 19, 2017.