Individual
MS. JANE FRANCES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, LCAS
Contact information
Practice address
207 QUEEN ST, MORGANTON, NC 28655-3341
(828) 439-8191
(828) 439-2622
Mailing address
PO BOX 3624, MORGANTON, NC 28680-3624
(828) 439-8191
(828) 439-2622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3467
NC
102L00000X
Psychoanalyst
—
—
106H00000X
Marriage & Family Therapist
720
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132Y2
BCBS
NC
05
—
610575
—
NC
Enumeration date
12/11/2006
Last updated
07/22/2013
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