Individual
BEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2101 GAY ST, LONGMONT, CO 80501-1307
(720) 378-2327
Mailing address
2101 GAY ST, LONGMONT, CO 80501-1307
(720) 378-2327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2440
CO
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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