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Jason Luke Wilson
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1093595258

Jason Luke Wilson is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Jason Luke Wilson practices in Dayton, OH. The NPI Number for Jason Luke Wilson is 1093595258 and holds a License No. (Ohio).

The current practice location address for Jason Luke Wilson is 1628 Springfield St, Dayton, OH and can be reached out via phone at 937-474-7376.

Location: 1628 Springfield St, Dayton, OH, 45403-1430
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Provider Profile Details
NPI Number
1093595258
Provider Name
Jason Luke Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1628 Springfield St, Dayton, OH, 45403-1430
Phone Number
937-474-7376
Fax Number
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0411413 05 OH
institution
Provider Business Practice Location Address Details
Address
1628 Springfield St
City
State
Zip
45403-1430
Phone Number
937-474-7376
Fax Number
person
Provider Business Mailing Address Details
Address
1628 Springfield St
City
State
Zip
45403-1430
Phone Number
937-474-7376
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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