Mr. Jerry Wilson
Mr. Jerry Wilson is an Addiction (Substance Use Disorder) Counselor in Shiprock, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.
- Licensed in
- NM
- In the registry since
- 2009
Practice location Address checks out
Hwy 491 N Pinon St Red Modular BldgShiprock, NM 87420-1830
Phone: (505) 368-1050
Fax: (505) 368-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 0122591 (NM) |
|---|
Record details
| NPI number | 1962731786 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2009 |
| Last updated in NPPES | December 8, 2009 |
| Mailing address | Po Box 1830, Shiprock, NM 87420-1830 |
Other providers in Shiprock
-
Pauline Plummer, LADAC
US Hwy 491 N, Shiprock, NM 87420 · (505) 368-6401
-
Marie M. Tsosie, BS, LADAC
Hwy 491 N Pinon St, Shiprock, NM 87420-1830 · (505) 368-1437
-
Mrs. Wanda Mae Westbrook, NMLADAC
Hwy 491 N Pinon St, Shiprock, NM 87420 · (505) 368-1069
-
Mrs. Arminda M. Williams, NMLADAC, AZLISAC
Hwy 491 N Pinon St, Shiprock, NM 87420 · (505) 368-1241