TODDIE JAMES WILSON NPI 1104720655

NPI Information

  • NPI: 1104720655
  • Provider Name: TODDIE JAMES WILSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 50450 WATERS EDGE DR
    DEER RIVER, MN
    ZIP 56636
  • Phone: (218) 368-1779

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NPI Details

Toddie James Wilson is an addiction (substance use disorder) counselor in Deer River, MN. Toddie James Wilson NPI is 1104720655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50450 WATERS EDGE DR
DEER RIVER, MN
ZIP 56636-889
Phone: (218) 368-1779
Fax: (218) 335-7294

The enumeration date for this NPI number is 10/7/2026 and was last updated on 10/7/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)12-0258-MAMINNESOTAYes

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: 11/21/2025

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