TEGAN L WILSON BS
NPI 1932592904
Counselor - Professional in Greeley, CO
Active since March 13, 2015
About Tegan L Wilson Bs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEGAN L WILSON BS (NPI 1932592904) is an individual professional provider in Greeley, Colorado, licensed in Colorado (0016273) and active in the NPI registry since March 2015.
NPPES Registry Identity
NPI1932592904
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTEGAN L WILSONCredential: BS
Location Address1300 N 17TH AVEGreeley, CO 80631-9584
Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120
Phone(970) 347-2120
Sole ProprietorNo
Enumeration DateMarch 13, 2015
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1932592904 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 0016273
1300 N 17TH AVE, Greeley, CO 80631
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1300 N 17TH AVE
GREELEY, CO 80631
GREELEY, CO 80631
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932592904, enumerated as an "individual" on March 13, 2015.
The provider is located at 1300 N 17TH AVE GREELEY, CO 80631 and the phone number is (970) 347-2120.
Counselor with taxonomy code 101YP2500X and a focus in Professional.