Wilson, Jamie

Wilson, Jamie is an individual health care provider with primary practice located at 5001 Plainfield Ave Ne Ste B , Grand Rapids MI 49525-1050. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Jamie can be contacted via phone (616) 600-1667.

Contact Information

Primary practice address
5001 Plainfield Ave Ne Ste B Grand Rapids MI 49525-1050
Phone: (616) 600-1667
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6361004924 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301015678 Michigan
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 6301015678 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301015678 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6301015678 Michigan

Profile Details

NPI number 1770913832
LBN Legal business name Wilson, Jamie
Credentials LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Sep 18th, 2022 - about 3 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 1770913832 NPPES
Michigan MEDICAID 1770913832

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