Mary Wilson
Professional Counselor
11578 Highway 27
Summerville
, Georgia 30747-5873
Mary Wilson
Professional Counselor
11578 Highway 27
Summerville
, Georgia 30747-5873
(770) 880-2185
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Mary Wilson
- Po Box 308
- Cartersville, GA
- Zip : 30120-0308
- Phone : (770) 880-2185
Second Address
- Mary Wilson
- 11578 Highway 27
- Summerville, GA
- Zip : 30747-5873
- Fax : (706) 857-7607
- Phone : (706) 857-5441
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 003040 | GA |
National Provider Identifier
| NPI | 1003471632 |
|---|---|
| Provider Name | Mary Wilson |
| First Address | Cartersville, GA 30120-0308 |
| Second Address | Summerville, GA 30747-5873 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.