Individual
JOHN WESLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
701 E COLUMBIA ST, SPRINGFIELD, OH 45503-4404
(937) 325-5564
(937) 325-8727
Mailing address
15 E PLEASANT ST, SPRINGFIELD, OH 45506-2201
(937) 325-5564
(937) 325-8727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1100342
OH
Other
Enumeration date
05/16/2013
Last updated
06/14/2023
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