Individual provider · Type 1 NPI

Melissa E. Wilson

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1407482656 Active

Practice location

205 W 9th St
San Pedro, CA 90731-3711

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 1407482656

Melissa E. Wilson's National Provider Identifier is 1407482656, issued on Mar 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Mar 19, 2020.