Individual provider · Type 1 NPI

Teresa Lynn Wilson, MSSA, LICDC, LSW

Addiction (Substance Use Disorder) Counselor · Kettering, OH

NPI number 1073025938 Active

Practice location

3008 Sudbury Dr
Kettering, OH 45420-1129

Call (937) 310-1269 Map

Mailing address

8120 Garnet Dr
Dayton, OH 45458-2141

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1802256 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X161506 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073025938

Teresa Lynn Wilson, MSSA, LICDC, LSW's National Provider Identifier is 1073025938, issued on Nov 1, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kettering, OH. The record was last updated on Dec 6, 2024.