Individual
JEFFREY L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
14201 S MUR LEN RD STE 101, OLATHE, KS 66062-1859
(913) 486-5147
Mailing address
14201 S MUR LEN RD STE 101, OLATHE, KS 66062-1859
(913) 486-5147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3094
KS
101YP2500X
Professional Counselor
Primary
3094
KS
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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