Individual
ZACHARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CAMBRIDGE AVE E, GREENWOOD, SC 29646-2221
(864) 223-2243
Mailing address
511 COLONIAL DR, GREENWOOD, SC 29649-9360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7806
SC
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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