Individual provider · Type 1 NPI

Dwayne Charles Wilson

Addiction (Substance Use Disorder) Counselor · Bakersfield, CA

NPI number 1093844839 Active

Practice location

1401 L St
Bakersfield, CA 93301-4522

Fax (661) 868-6133

Mailing address

PO Box 1000
Bakersfield, CA 93302-1000

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XW1008111331 (CA)

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

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About NPI 1093844839

Dwayne Charles Wilson's National Provider Identifier is 1093844839, issued on Mar 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bakersfield, CA. The record was last updated on Feb 16, 2016.