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Codie Wilson
Mental Health Counselor in Springfield, Oregon
NPI 1396239901

Codie Wilson is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Codie Wilson practices in Springfield, OR. The NPI Number for Codie Wilson is 1396239901 and holds a License No. (Oregon).

The current practice location address for Codie Wilson is 1705 Centennial Blvd Ste 2, Springfield, OR and can be reached out via phone at 541-818-0009.

Location: 1705 Centennial Blvd Ste 2, Springfield, OR, 97477-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396239901
Provider Name
Codie Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1705 Centennial Blvd Ste 2, Springfield, OR, 97477-3320
Phone Number
541-818-0009
Fax Number
Provider Enumeration Date
06/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1705 Centennial Blvd Ste 2
City
Springfield
State
Oregon
Zip
97477-3320
Phone Number
541-818-0009
Fax Number
person
Provider Business Mailing Address Details
Address
1705 Centennial Blvd Ste 2
City
Springfield
State
Oregon
Zip
97477-3320
Phone Number
541-818-0009
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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