Individual provider · Type 1 NPI

Jennifer Lynn Wilson, B.S., LADC

Addiction (Substance Use Disorder) Counselor · Grand Rapids, MN

NPI number 1346795762 Active

Practice location

510 SE 13th St
Grand Rapids, MN 55744-4233

Fax (218) 326-1036

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304574 (MN)

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

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About NPI 1346795762

Jennifer Lynn Wilson, B.S., LADC's National Provider Identifier is 1346795762, issued on Aug 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Rapids, MN. The record was last updated on Aug 16, 2016.