MR. Jacob R Wilson, BA is a mental health counselor in Rockford, IL. MR. Jacob R Wilson, BA NPI is 1023318276. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8616 NORTHERN AVE
ROCKFORD, IL
ZIP 61107-309
Phone: (815) 391-1000
The enumeration date for this NPI number is 10/21/2010 and was last updated on 7/31/2014.