Individual
JANON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 BANTA PL STE 107, HACKENSACK, NJ 07601-5605
(973) 259-8557
(973) 532-6961
Mailing address
10 BANTA PL STE 107, HACKENSACK, NJ 07601-5605
(973) 259-8557
(973) 532-6961
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00503200
NJ
Other
Enumeration date
05/26/2015
Last updated
06/17/2021
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