Individual
DR. JEFFREY A WILSON-REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4600 FULTON MILL RD, CENTRAL S.P. MENTAL HEALTH DEPT., MACON, GA 31208-2500
(478) 472-2943
Mailing address
299 JULE INGRAM RD NE, MILLEDGEVILLE, GA 31061-7962
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY001959
GA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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