| Jeffrey L. Wilson | |
|
14201 S Mur Len Rd Ste 101 Olathe KS 66062-1859 | |
| (913) 486-5147 | |
| Not Available |
| Full Name | Jeffrey L. Wilson |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14201 S Mur Len Rd Ste 101, Olathe, Kansas |
| Authorized Official Name and Position | Jeffrey L Wilson (OWNER) |
| Authorized Official Contact | 9134865147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L. Wilson 14201 S Mur Len Rd Ste 101 Olathe KS 66062-1859 Ph: (913) 486-5147 | Jeffrey L. Wilson 14201 S Mur Len Rd Ste 101 Olathe KS 66062-1859 Ph: (913) 486-5147 |
| NPI Number | 1689183329 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689183329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3094 (Kansas) | Secondary |
| 101YP2500X | Counselor - Professional | 3094 (Kansas) | Primary |
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