Mr. Jerry Wilson

Addiction (Substance Use Disorder) Counselor


  Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock
     New Mexico, 87420-1830
  505-368-1050    505-368-1055 Maps & Directions
Mr. Jerry Wilson is a Shiprock, New Mexico based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mr. Jerry Wilson is 0122591 for Addiction (Substance Use Disorder) Counselor in New Mexico. His current practice location is Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock. Patients can book an appointment with him at 505-368-1050.
Mr. Jerry Wilson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Jerry Wilson speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Mr. Jerry Wilson
Specialization: Addiction (Substance Use Disorder) Counselor
Gender:Male
Accepts Medicare Assignment:No
Practice Address:Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock,
New Mexico, 87420-1830
Phone:505-368-1050
Fax:505-368-1055
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1962731786
NPI Enumeration Date: 08 Dec, 2009
NPI Last Update On: 08 Dec, 2009

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jerry Wilson are as mentioned below.
License NumberSpecializationStateStatus
0122591Addiction (Substance Use Disorder) Counselor New MexicoPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 1830,
Shiprock, New Mexico
Zip: 87420-1830
Phone Number: 505-368-1050
Fax Number: 505-368-1055
Patients can reach Mr. Jerry Wilson at Hwy 491 N. Pinon St., Red Modular Bldg, Shiprock, New Mexico or can call to book an appointment on 505-368-1050.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.

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