Whalio Doctors

NPI 1245471846

Holland Wilson, LMFT

Practitioner Marriage & Family Therapist Jackson, WY

Practice location

Address
310 E Broadway Ave, Jackson, WY 83001-8636
Phone
(307) 654-7003
Fax
(307) 224-4973
Mailing address
PO Box 3850, Alpine, WY 83128-3841

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 130 (WY)

Registry record

NPI
1245471846
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Mar 2009
Record last updated
2 Mar 2016

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.