# WILSON-SIGREST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508110917
- **Authorized official:** JENNIFER SIGREST MS (MEMBER MANAGER)
- **Authorized official phone:** (601) 398-5436

## Contact information

- **Practice address:** 357 TOWNE CENTER BLVD., SUITE 203, RIDGELAND, MS 39157
- **Practice address phone:** (601) 398-5436
- **Mailing address:** 103 HILLCREST DR, CLINTON, MS 39056-4309
- **Mailing address phone:** (601) 398-5436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LPC 0557 | MS | — |
| 1041C0700X | Clinical Social Worker | C5370 | MS | Yes |

## Other

- **Enumeration date:** 11/07/2012
- **Last updated:** 11/16/2012