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Jerry Wilson, M.S., L.P.C
NPI 1750437158 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3516 Ne Stallings Dr
Nacogdoches, TX 75965 - Phone
- (936) 569-6562
- Organisation at this address
- Moonrise Mental Health Pllc
Texas Palliative Services PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas