| Priscilla Wilson, Lmhp, Ncc | |
|
230 E 22nd St Ste 3 Fremont NE 68025-2661 | |
| (402) 720-5129 | |
| (402) 727-4839 |
| Full Name | Priscilla Wilson, Lmhp, Ncc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 230 E 22nd St Ste 3, Fremont, Nebraska |
| Authorized Official Name and Position | Priscilla Anne Wilson (OWNER) |
| Authorized Official Contact | 4027205129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Priscilla Wilson, Lmhp, Ncc 230 E 22nd St Ste 3 Fremont NE 68025-2661 Ph: (402) 720-5129 | Priscilla Wilson, Lmhp, Ncc 230 E 22nd St Ste 3 Fremont NE 68025-2661 Ph: (402) 720-5129 |
| NPI Number | 1790057453 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790057453 | NPI | - | NPPES |
| 10025233400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2417 (Nebraska) | Primary |
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