Linette Wilson
Counselor, Addiction (Substance Use Disorder) in Phoenix, AZ. Individual provider (NPI-1).
NPI number1033701909
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1033701909
- Entity type
- Individual (NPI-1)
- Name
- Linette Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2021
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
11225 N 28th Dr Ste 104Phoenix, AZ 85029-5606
Phone 952-242-8381
Mailing address
11225 N 28th Dr Ste 104Phoenix, AZ 85029-5606
Phone 952-242-8381
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