Individual provider · Type 1 NPI
Toddie James Wilson I
Addiction (Substance Use Disorder) Counselor · Deer River, MN
NPI number
1104720655
Active
Practice location
50450 Waters Edge Dr
Deer River, MN 56636-2889
Fax (218) 335-7294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12-0258-MA (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1104720655
Toddie James Wilson I's National Provider Identifier is 1104720655, issued on Oct 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer River, MN. The record was last updated on Oct 7, 2026.