EDWARD WILSON CDCA NPI 1710767124

NPI Information

NPI: 1710767124
Provider Name: EDWARD WILSON, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2737 YOUNGSTOWN RD SE
WARREN, OH
ZIP 44484
Phone: (330) 369-8022
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Edward Wilson, CDCA is an addiction (substance use disorder) counselor in Warren, OH. Edward Wilson, CDCA NPI is 1710767124. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2737 YOUNGSTOWN RD SE
WARREN, OH
ZIP 44484-002
Phone: (330) 369-8022

The enumeration date for this NPI number is 10/3/2023 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.185939	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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