Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WILDWOOD, PHD
Active Sole ProprietorJACK WILDWOOD, PHD is a Mental Health Counselor healthcare provider located in MORRISVILLE, Vermont. NPI 1205317906 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MORRISVILLE, VT
Registration Details
- NPI Number
- 1205317906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2018 (7.9452577053869 yrs)
- Last Updated
- Dec 17, 2025
- License
-
097.0135245 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 GALLERY LNMORRISVILLE, VT, 056619057Browse VT providers · Browse ZIP 05661
- Phone
- 8025059044
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MORRISVILLE, VT
| Name | Credential | NPI |
|---|---|---|
| JESSICA I. DAMBACH | M.A. | 1306927447 |
| CRISTINA LUCCHESE SCHARNBERG | LCMHC | 1770634529 |
| MS. JESSICA HARTLEY | LADC,LCMHC | 1063542033 |
| SCOTT DANIEL VERZILLI | LCMHC | 1316061815 |
| CYNTHIA C. OLSEN | LCMHC | 1598960601 |
| CECILE M LERICHE | LCMHC | 1366639700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.