Individual provider · Type 1 NPI
Jamie Wilson
Addiction (Substance Use Disorder) Counselor · Lancaster, CA
NPI number
1770055808
Active
Practice location
44447 10th St W
Lancaster, CA 93534-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | 18-56186 |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770055808
Jamie Wilson's National Provider Identifier is 1770055808, issued on Dec 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Dec 4, 2024.