Wilson, Sean Avery

Wilson, Sean Avery is an individual health care provider with primary practice located at 413 Route 66 W , Waynesville MO 65583-2114. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Wilson, Sean Avery can be contacted via phone (573) 774-4198.

Contact Information

Primary practice address
413 Route 66 W Waynesville MO 65583-2114
Phone: (573) 774-4198
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 2023035575 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2023035575 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2023035575 Missouri

Profile Details

NPI number 1114704343
LBN Legal business name Wilson, Sean Avery
Credentials PLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2023
Last updated Sep 11th, 2023 - about last year

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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