NPI 1023304599

Joe Wilson, LPC

Practitioner Professional Counselor Macon, GA

Practice location

Address: 144 Pierce Avenue, Macon, GA 31204
Phone: (478) 475-4608
Fax: (478) 476-8397

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC003234 (GA)

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Registry record

NPI: 1023304599
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jun 2011
Record last updated: 24 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.