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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY CLYDE WILSON, M.S., L.P.C.

Active Sole Proprietor

MR. JERRY CLYDE WILSON, M.S., L.P.C. is a Mental Health Counselor healthcare provider located in NACOGDOCHES, Texas. NPI 1750437158 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · NACOGDOCHES, TX

Registration Details

NPI Number
1750437158
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2007 (19.540084464381 yrs)
Last Updated
Jul 8, 2007
License
625 (TX)
Sole Proprietor
Yes

Practice Information

Address
3516 NE STALLINGS DR
NACOGDOCHES, TX, 759658732
Browse TX providers · Browse ZIP 75965
Phone
9365696562
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in NACOGDOCHES, TX

Name Credential NPI
MS. BARBARA CHRISTIAN CHAVIERS LPC 1255367140
MRS. JAN LANELLE RHODES LPC 1821007139
MR. JOE WARREN MCCRACKEN M.ED., L.P.C. 1366528622
MRS. LESLIE ANN TYNDALL L.P.C. 1104040161
MRS. CHARLOTTE ANDREA TIGNER M.S., L.P.C. 1205042835
MRS. MARTHA MORPHIS SHOLARS LPC,LMFT, LCDC 1548490006
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.