Individual provider · Type 1 NPI

Gwen Wilson

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1285941708 Active

Practice location

611 S Flower St Apt 5
Inglewood, CA 90301-5570

Call (323) 208-8275 Map

Specialties and licenses

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

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

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About NPI 1285941708

Gwen Wilson's National Provider Identifier is 1285941708, issued on Sep 3, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Sep 3, 2010.