Individual
JAMIE RICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ADC-P
Contact information
Practice address
150 HOWELL CIR APT 367, GREENVILLE, SC 29615-4947
(772) 302-0228
Mailing address
150 HOWELL CIR APT 367, GREENVILLE, SC 29615-4947
(772) 302-0228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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