Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerry Clyde Wilson, MS, LPC

Individual provider Mental Health Counselor · NPI 1750437158

Mr. Jerry Clyde Wilson, MS, LPC is a Mental Health Counselor in Nacogdoches, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3516 NE Stallings Dr
Nacogdoches, TX 75965-8732
Phone: (936) 569-6562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 625 (TX)

Record details

NPI number1750437158
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorYes
NPI enumeratedJanuary 26, 2007
Last updated in NPPESJuly 8, 2007

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