Wilson, Courtney H
Wilson, Courtney H is an individual health care provider with primary practice located at 298 Washington St , Gloucester MA 01930-4832. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Courtney H can be contacted via phone (978) 283-0296.Contact Information
Primary practice address
298 Washington St
Gloucester MA 01930-4832
Phone: (978) 283-0296
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 111091 | Massachusetts |
Profile Details
| NPI number | 1801089826 |
|---|---|
| LBN Legal business name | Wilson, Courtney H |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Aug 22nd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801089826 | NPPES |
| Massachusetts | Other | 111091 | LICSW LICENSE NUMBER |
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