Wilson, Beverly J
Wilson, Beverly J is an individual health care provider with primary practice located at 113 S Franklin St , Janesville WI 53548-3812. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Beverly J can be contacted via phone (608) 756-5555.Contact Information
Primary practice address
113 S Franklin St
Janesville WI 53548-3812
Phone: (608) 756-5555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 660 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3615 | Wisconsin |
Profile Details
NPI number | 1528112448 |
---|---|
LBN Legal business name | Wilson, Beverly J |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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