Individual
MR. DARRELL A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CRC
Contact information
Practice address
2520 S FLORIDA CT, JOPLIN, MO 64804-2900
(417) 781-8554
Mailing address
2520 S FLORIDA CT, JOPLIN, MO 64804-2900
(417) 781-8554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001025510
MO
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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