Individual provider · Type 1 NPI

Thomas Alvin Wilson Jr., PSS

Peer Specialist · Medford, OR

NPI number 1568258796 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 772-1777 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-3633 (OR)

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 1568258796

Thomas Alvin Wilson Jr., PSS's National Provider Identifier is 1568258796, issued on Apr 15, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Medford, OR. The record was last updated on Apr 15, 2025.