Individual
HOLLAND WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(307) 654-7003
(307) 224-4973
Mailing address
PO BOX 3850, ALPINE, WY 83128-3841
(307) 248-1497
(307) 224-4973
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
130
WY
Other
Enumeration date
03/12/2009
Last updated
03/02/2016
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