Individual provider · Type 1 NPI

Bryant M. Wilson

Addiction (Substance Use Disorder) Counselor · San Andreas, CA

NPI number 1982741443 Active

Practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Mailing address

2541 Heinemann Dr
Valley Springs, CA 95252-8854

Specialties and licenses

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

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

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About NPI 1982741443

Bryant M. Wilson's National Provider Identifier is 1982741443, issued on Jan 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Andreas, CA. The record was last updated on Jul 8, 2007.