Individual
DR. JOHN WAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1244 CLAIRMONT RD, 218, DECATUR, GA 30030-1259
(404) 585-7375
Mailing address
4317 DOGWOOD TRL, DECATUR, GA 30034-6234
(404) 585-7375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006696
GA
Other
Enumeration date
06/12/2012
Last updated
04/24/2014
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