Individual
MICHAEL D WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 756-2740
Mailing address
1340 GAINESBORO GRADE APT D4, COOKEVILLE, TN 38501-0799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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