Individual
DONALD JULIUS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37514 HILLS CREEK RD, SPRINGFIELD, OR 97478-8560
(541) 747-0805
Mailing address
37514 HILLS CREEK RD, SPRINGFIELD, OR 97478-8560
(541) 747-0805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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