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Christian Zachary Wilson
Addiction (Substance Use Disorder) Counselor in Phoenix, Oregon
NPI 1538840178

Christian Zachary Wilson is an Addiction (Substance Use Disorder) Counselor based in Phoenix, OR and is specialized in Addiction (Substance Use Disorder). Christian Zachary Wilson practices in Phoenix, OR. The NPI Number for Christian Zachary Wilson is 1538840178 and holds a License No. (Oregon).

The current practice location address for Christian Zachary Wilson is 149 S Main St, Phoenix, OR and can be reached out via phone at 541-535-4133.

Location: 149 S Main St, Phoenix, OR, 97535-6631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538840178
Provider Name
Christian Zachary Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
149 S Main St, Phoenix, OR, 97535-6631
Phone Number
541-535-4133
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider Business Mailing Address Details
Address
149 S Main St
City
Phoenix
State
Oregon
Zip
97535-6631
Phone Number
541-535-4133
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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