Individual provider · Type 1 NPI

Kristin Patricia Wilson, CDCA

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1922572353 Active

Practice location

196C E Emmitt Ave
Waverly, OH 45690-1334

Call (740) 912-9499 Map

Mailing address

111 Schmitt Dr Apt 18
Waverly, OH 45690-1282

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X168868 (OH)

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

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About NPI 1922572353

Kristin Patricia Wilson, CDCA's National Provider Identifier is 1922572353, issued on Jan 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Jan 18, 2019.