Individual provider · Type 1 NPI

Charles Wilson

Addiction (Substance Use Disorder) Counselor · Wilmington, OH

NPI number 1124760145 Active

Practice location

48 Randolph St
Wilmington, OH 45177-2731

Call (937) 481-5647 Map

Mailing address

157 N South St
Wilmington, OH 45177-1646

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1124760145

Charles Wilson's National Provider Identifier is 1124760145, issued on Apr 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, OH. The record was last updated on Feb 22, 2023.