Wilson, Heather

Wilson, Heather is an individual health care provider with primary practice located at 1387 Chews Landing Rd , Laurel Springs NJ 08021-2760. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Heather can be contacted via phone (855) 765-6399.

Contact Information

Primary practice address
1387 Chews Landing Rd Laurel Springs NJ 08021-2760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00294200 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SC05827400 New Jersey

Profile Details

NPI number 1982232674
LBN Legal business name Wilson, Heather
Credentials LCSW, LCADC, CCTP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982232674 NPPES
New Jersey Other 1124663059 N/A

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