Individual provider · Type 1 NPI
Jason Luke Wilson
Addiction (Substance Use Disorder) Counselor · Dayton, OH
NPI number
1093595258
Active
Practice location
1 Elizabeth Pl
Dayton, OH 45417-3445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.189003 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1093595258
Jason Luke Wilson's National Provider Identifier is 1093595258, issued on Oct 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jul 10, 2024.