Individual provider · Type 1 NPI

Jil Wilson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1942452016 Active

Practice location

3467 W Shaw Ave, Suite #102
Fresno, CA 93711-3223

Call (559) 274-0456 Map

Fax (559) 274-0292

Mailing address

2008 N Vagedes Ave
Fresno, CA 93705-5147

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XW0811071114 (CA)

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

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About NPI 1942452016

Jil Wilson's National Provider Identifier is 1942452016, issued on Oct 21, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 19, 2009.