Individual provider · Type 1 NPI

Dewight Edwin Wilson, RADT1

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1699221945 Active

Practice location

419 Pennsylvania St
Vallejo, CA 94590-6933

Call (707) 643-2715 Map

Fax (707) 643-8536

Mailing address

419 Pennsylvania St.
Vallejo, CA 94590

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11966 (CA)

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

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About NPI 1699221945

Dewight Edwin Wilson, RADT1's National Provider Identifier is 1699221945, issued on Aug 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Aug 28, 2016.