Andrew Wild
Counselor, Professional in Athens, OH. Individual provider (NPI-1).
NPI number1164098760
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1164098760
- Entity type
- Individual (NPI-1)
- Name
- Andrew Wild
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.2404527 | OH | Yes |
| 101Y00000X | Counselor | C.2103185-TRNE | OH |
Practice location
11 Graham DrAthens, OH 45701-1430
Phone 800-321-8293
Mailing address
Po Box 132Athens, OH 45701-0132
Phone 740-644-9872
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