Individual provider · Type 1 NPI

Coby Wilson

Addiction (Substance Use Disorder) Counselor · Lakeview, OR

NPI number 1669157749 Active

Practice location

215 N G St
Lakeview, OR 97630-1417

Call (541) 947-6021 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24-10-11280 (OR)

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

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About NPI 1669157749

Coby Wilson's National Provider Identifier is 1669157749, issued on Jun 16, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakeview, OR. The record was last updated on Nov 4, 2024.