Dr. Jeff Randall Wilson
Dr. Jeff Randall Wilson is a Counselor in Gary, Indiana. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
141 W 46th AveGary, IN 46408-3905
Phone: (219) 614-0793
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Pastoral Counselor | Taxonomy 101YP1600X |
Record details
| NPI number | 1598906935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2009 |
| Last updated in NPPES | March 16, 2009 |
| Mailing address | 141 W 46th Ave, Gary, IN 46408-3905 |
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Dr. Cheryl Denise Wilson
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