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

JEROME WILSON

Active Sole Proprietor

JEROME WILSON is a Professional Counselor healthcare provider located in THIBODAUX, Louisiana. NPI 1922648674 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · THIBODAUX, LA

Registration Details

NPI Number
1922648674
Provider Type
Individual
Gender
Male
NPI Issued
Jan 10, 2020 (6.6244448014381 yrs)
Last Updated
Jan 10, 2020
License
38-3949990 (LA)
Sole Proprietor
Yes

Practice Information

Address
100 DIPLOMAT WAY
THIBODAUX, LA, 703014314
Browse LA providers · Browse ZIP 70301
Phone
9853166483
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Family Psychologist
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in THIBODAUX, LA

Name Credential NPI
PAUL J GANIER LPC,PHD 1417918723
CHRISTINE VICTORIA HARRISON LPC 1649202417
BRETT JOHN FAUCHEAUX LPC, LMFT 1861562266
MS. MARGARET SONGE LPC-S, DCC 1306073572
MR. BRUCE BUGGS II LPC 1063730224
MR. BRYAN J. BLANCHARD LPC 1184932840
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.