Individual provider · Type 1 NPI

Stephen Wilson Jr.

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1902448038 Active

Practice location

5318 Crenshaw Blvd
Los Angeles, CA 90043-1810

Call (323) 293-6291 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1367131019 (CA)

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

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About NPI 1902448038

Stephen Wilson Jr.'s National Provider Identifier is 1902448038, issued on Oct 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 10, 2019.