Wilson, Larry Dwight
Wilson, Larry Dwight is an individual health care provider with primary practice located at 3020 18Th St Suite 17 Catholic Charities, Columbus NE 68601-4254. He recently has 3 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wilson, Larry Dwight can be contacted via phone (402) 563-3833.Contact Information
Primary practice address
3020 18Th St Suite 17 Catholic Charities
Columbus NE 68601-4254
Phone: (402) 563-3833
Fax: (402) 562-8714
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 819 | Nebraska |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1770 | Nebraska |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3523 | Nebraska |
Profile Details
NPI number | 1538344908 |
---|---|
LBN Legal business name | Wilson, Larry Dwight |
Credentials | LMHP, LADC, CPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2008 |
Last updated | May 9th, 2012 - about 13 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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