Jerome Wilson
Jerome Wilson is a Family Psychologist in Thibodaux, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
100 Diplomat WayThibodaux, LA 70301-4314
Phone: (985) 316-6483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Family Psychologist | Taxonomy 103TF0000X · Licence 38-3949990 (LA) |
| Family Psychologist | Taxonomy 103TF0000X (LA) |
Record details
| NPI number | 1922648674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2020 |
| Last updated in NPPES | January 10, 2020 |
| Certification date | January 10, 2020 |
| Mailing address | 100 Diplomat Way, Thibodaux, LA 70301-4314 |