Charles Wilson
Counselor, Addiction (Substance Use Disorder) in Wilmington, OH. Individual provider (NPI-1).
NPI number1124760145
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1124760145
- Entity type
- Individual (NPI-1)
- Name
- Charles Wilson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2022
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
48 Randolph StWilmington, OH 45177-2731
Phone 937-481-5647
Mailing address
157 N South StWilmington, OH 45177-1646
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All 63 Addiction (Substance Use Disorder) Counselor providers in Wilmington · All 763 providers in Wilmington
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