Mr Jerry Wilson, in Shiprock, NM

Mr Jerry Wilson, is a Counselor - Addiction (substance Use Disorder) based in Shiprock, New Mexico. Mr Jerry Wilson is licensed to practice in New Mexico (license number 0122591) and his current practice location is Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 368-1050.

NPI number for Mr Jerry Wilson is 1962731786 and his current mailing address is Po Box 1830, Shiprock, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962731786.

Contact Information

	Mr Jerry Wilson,
	Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock, NM 87420-1830
	(505) 368-1050
	(505) 368-1055

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerry Wilson
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	Hwy 491 N. Pinon St., Shiprock, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962731786
Provider Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009

Medical Identifiers

Medical identifiers for Mr Jerry Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962731786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0122591 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jerry Wilson, Po Box 1830, Shiprock, NM 87420-1830 Ph: (505) 368-1050	Mr Jerry Wilson, Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock, NM 87420-1830 Ph: (505) 368-1050

Reviews and Comments

Counselor in Shiprock, NM

Rita Joe, C.AD, LADAC, CACIII, Counselor Medicare: Not Enrolled in Medicare Practice Location: Pinon & Cottonwood Dr Building #2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1461
Mrs. Arminda M. Williams, NM LADAC, AZ LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: Hwy 491 N., Pinon St., Shiprock, NM 87420 Phone: 505-368-1241 Fax: 505-368-1241
Arlene D Pioche, Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Orlando J Pioche, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Andrew James, Counselor Medicare: Not Enrolled in Medicare Practice Location: Hwy 491 Pinon/cottowood Dr Blg. 2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1437
Gloria King, LPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Pinon & Cottonwood Dr Building # 2301, Shiprock, NM 87420 Phone: 505-368-1438 Fax: 505-368-1461
Delphine Y Clashin, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431

Mr Jerry Wilson, - Counselor in Shiprock, NM