Wilson, Jill

Wilson, Jill is an sole proprietor health care provider with primary practice located at 3500 Duluth Park Ln Suite 410, Duluth GA 30096-3242. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wilson, Jill can be contacted via phone (770) 418-1078.

Contact Information

Primary practice address
3500 Duluth Park Ln Suite 410 Duluth GA 30096-3242
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001627 Georgia

Profile Details

NPI number 1124242680
LBN Legal business name Wilson, Jill
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 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.

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