NPI 1417380783

David Charles Wilson, LMFT

Practitioner Marriage & Family Therapist Gulfport, MS

Practice location

Address: 1600 Broad Ave, Gulfport, MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0472A (MS)

Other Marriage & Family Therapist providers in Mississippi →

Registry record

NPI: 1417380783
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2013
Record last updated: 9 Aug 2013

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.