Individual provider · Type 1 NPI
Jennifer J. Wilson
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1972637932
Active
Practice location
1430 Neotomas Ave
Santa Rosa, CA 95405-7575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972637932
Jennifer J. Wilson's National Provider Identifier is 1972637932, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 11, 2014.