Jessica Wilson's National Provider Identifier (NPI) Details
Jessica Wilson, LPC/MHSP, NCC
NPI: 1669061446
Enumeration Date: 2021-01-15
Last updated: 2025-01-04
Sole Proprietor: YES
Status: active
Postal Address: 719 S MAIN ST UNIT 105, SPRINGFIELD, TN
Phone: 615-504-3349
Primary Practice Address: 11192 OWENS CHAPEL RD, SPRINGFIELD, TN
Practice's phone: 615-504-3349