Individual
MR. DAVID CHARLES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
116 DUMAINE PL, MADISON, MS 39110-9234
(662) 378-7888
(601) 853-2990
Mailing address
116 DUMAINE PL, MADISON, MS 39110-9234
(662) 378-7888
(601) 853-2990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0256
MS
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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