Douglas Wilson

NPI #1427633411 in Lima, Ohio

Provider Information

NPI Number: 1427633411
Entity Type: Individual
Name: Douglas Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 11, 2021
Last Updated: Feb 21, 2023

Practice Location

Address: 311 E MARKET ST FL 3
City: Lima
State: Ohio
ZIP Code: 45801-4535
Phone: (419) 222-4474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X
Case Manager/Care Coordinator	171M00000X	Primary

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