Individual provider · Type 1 NPI

Codie Wilson

Mental Health Counselor · Springfield, OR

NPI number 1396239901 Active

Practice location

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320

Call (541) 818-0009 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1396239901

Codie Wilson's National Provider Identifier is 1396239901, issued on Jun 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Jan 26, 2023.