Individual
JESSICA W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 E MAIN ST, SUITE 300, ROCK HILL, SC 29730-4571
(803) 328-9600
(803) 328-7141
Mailing address
524 DOCTORS CT, CHESTER, SC 29706-8644
(803) 328-9600
(803) 329-7141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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