Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 JAMES BUCHANAN RD, THORNDALE, PA 19372-1132
(610) 873-1010
Mailing address
114 FIELDSTONE DR, NOTTINGHAM, PA 19362-9447
(302) 668-5556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC13513
PA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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