Individual
SALAH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
29 WILLOW BRANCH DR, JACKSON, TN 38305-6621
(213) 442-9880
Mailing address
29 WILLOW BRANCH DR, JACKSON, TN 38305-6621
(213) 442-9880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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