Individual
JAMIE ALICIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT, CSW
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-6991
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 716-0552
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20538-130
WI
101YP2500X
Professional Counselor
Primary
12335-125
WI
101YP2500X
Professional Counselor
Primary
7811-226
WI
101YS0200X
School Counselor
3001026873
WI
104100000X
Social Worker
13279-120
WI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/27/2013
Last updated
04/02/2026
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