Individual provider · Type 1 NPI

James Vernon Wilson, M.A., L.I.S.A.C.

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1689847386 Active

Practice location

2123 W Chambers St
Phoenix, AZ 85041-3720

Call (602) 276-5653 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11800 (AZ)

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

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About NPI 1689847386

James Vernon Wilson, M.A., L.I.S.A.C.'s National Provider Identifier is 1689847386, issued on Apr 2, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2008.