Individual
DR. FREDERICK ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPCC-S
Contact information
Practice address
2347 VINE ST, CINCINNATI, OH 45219-1745
(513) 357-4602
Mailing address
5718 YAMASSEE DR, LIBERTY TWP, OH 45011-8465
(513) 205-5738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E261-S
OH
Other
Enumeration date
07/10/2007
Last updated
12/05/2016
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