Organization
JULIE L WILSON LLC
Active
Parent organization
JULIE L WILSON LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JULIE L WILSON LLC
Authorized official
JULIE WILSON (OWNER)
(719) 493-8843
Entity
Organization
Contact information
Practice address
4955 BRADLEY RD, COLORADO SPRINGS, CO 80911-3265
(719) 392-8855
Mailing address
225 E CHEYENNE MOUNTAIN BLVD STE 100A, COLORADO SPRINGS, CO 80906-3700
(719) 493-8843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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