JONATHAN WILSON

BATON ROUGE, LA
NPI1619458965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
JONATHAN WILSON
4336 NORTH BLVD STE 204
BATON ROUGE, LA 70806-3920
Phone number: 225-960-7418
Mailing Address
JONATHAN WILSON
4336 NORTH BLVD STE 204
BATON ROUGE, LA 70806-3920
Phone number: 225-960-7418
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