Jacob R Wilson BA

NPI 1023318276 - Counselor - 101YM0800X

NPI Details
NPI 1023318276
Gender Male
Enumeration Date 10/21/2010
Last Updated 07/31/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
8616 NORTHERN AVE
ROCKFORD IL, 61107-5309, US
Phone (815) 391-1000
Fax
Business Location
8616 NORTHERN AVE
ROCKFORD IL, 61107-5309, US
Phone (815) 391-1000
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jacob R Wilson BA NPI is 1023318276, taxonomy code is 101YM0800X Jacob R Wilson BA physically located at 8616 Northern Ave, Rockford IL, 61107-5309. NPI Number Jacob R Wilson BA has the Individual type.

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1023318276 NPI number is provided on an as is basis without warranty of any kind. 1023318276 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob R Wilson BA are for informational purposes only.