Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Fred Wilson Sr.

Individual provider Mental Health Counselor · NPI 1396148623

Mr. Fred Wilson Sr. is a Mental Health Counselor in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

945 N Liberty St Apt B219
Jacksonville, FL 32206-5676
Phone: (904) 238-1240
Fax: (904) 358-1551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1396148623
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 1, 2014
Last updated in NPPESOctober 1, 2014

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