MR. JAMES VERNON WILSON M.A. L.I.S.A.C. NPI 1689847386

NPI Information

NPI: 1689847386
Provider Name: MR. JAMES VERNON WILSON, M.A., L.I.S.A.C.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2123 W CHAMBERS ST
PHOENIX, AZ
ZIP 85041
Phone: (602) 276-5653
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MR. James Vernon Wilson, M.A., L.I.S.A.C. is an addiction (substance use disorder) counselor in Phoenix, AZ. MR. James Vernon Wilson, M.A., L.I.S.A.C. NPI is 1689847386. 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:

2123 W CHAMBERS ST
PHOENIX, AZ
ZIP 85041-720
Phone: (602) 276-5653

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

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)	11800	ARIZONA	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: 11/14/2023

NPI Synchronization or Removal

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