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MYRICK J WILSON JR.
NPI 1073234787
Counselor in Clovis, CA

Active since September 09, 2022
1788 CELESTE AVE, CLOVIS, CA 93611(559) 243-7002 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myrick J Wilson Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRICK J WILSON JR. (NPI 1073234787) is an individual counselor in Clovis, California and active in the NPI registry since September 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073234787
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMYRICK J WILSON JR.
Location Address1788 CELESTE AVEClovis, CA 93611-2069
Mailing Address1826 S Delno AveFresno, CA 93706-3550 · (559) 307-2765
Phone(559) 243-7002
Sole ProprietorNo
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1073234787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1788 CELESTE AVE, Clovis, CA 93611
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Secondary Practice Locations 2

Location 13138 W Barstow AveFresno, CA 93711-2603 · Phone (559) 243-7002
Location 22291 N Hazel AveFresno, CA 93722-5562 · Phone (559) 243-7002

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN MANUEL GARCIA M.A.
Counselor
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 630-9521
TERESA AYLIN VASQUEZ
Counselor
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 243-7002
ANDREA SIGRID ELIZABETH ELLIOTT
Counselor
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 243-7002
KIMBERLEE LYNNE COBARRUVIAS
Counselor
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 297-7336
KYJO ENTERPRISES, INC.
Community Based Residential Treatment Facility, Mental Illness
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 297-7336
FAUNA ASHLEY ACKER
Counselor
1788 CELESTE AVE
CLOVIS, CA 93611
Fresno County (559) 243-7002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myrick Wilson's NPI number?

The NPI number for Myrick Wilson is 1073234787. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Myrick Wilson located?

Myrick Wilson practices at 1788 Celeste Ave, Clovis, CA 93611. The listed phone number is (559) 243-7002.

What is Myrick Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Myrick Wilson was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.