Individual provider · Type 1 NPI

Dottie Wilson, CDCA.174182

Peer Specialist · Ironton, OH

NPI number 1417587932 Active

Practice location

2903 S 5th St
Ironton, OH 45638-2866

Mailing address

2117 S 7th St
Ironton, OH 45638-2538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.174182 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417587932

Dottie Wilson, CDCA.174182's National Provider Identifier is 1417587932, issued on Jan 23, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ironton, OH. The record was last updated on Sep 8, 2023.