person
Mr. Dewight Edwin Wilson, RADT1
Addiction (Substance Use Disorder) Counselor in Vallejo, California
NPI 1699221945

Dewight Edwin Wilson is an Addiction (Substance Use Disorder) Counselor based in Vallejo, CA and is specialized in Addiction (Substance Use Disorder). Dewight Edwin Wilson practices in Vallejo, CA and has the professional credentials of RADT1. The NPI Number for Dewight Edwin Wilson is 1699221945 and holds a License No. 11966 (California).

The current practice location address for Dewight Edwin Wilson is 419 Pennsylvania St, Vallejo, CA and can be reached out via phone at 707-643-2715 and via fax at 707-643-8536.

Location: 419 Pennsylvania St, Vallejo, CA, 94590
person
Provider Profile Details
NPI Number
1699221945
Provider Name
Dewight Edwin Wilson
Credential
RADT1
Provider Entity Type
Individual
Gender
Male
Address
419 Pennsylvania St, Vallejo, CA, 94590
Phone Number
707-643-2715
Fax Number
707-643-8536
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider Business Mailing Address Details
Address
419 Pennsylvania St
City
State
Zip
94590-6933
Phone Number
707-643-2715
Fax Number
707-643-8536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
11966 (California)
Definition
Definition to come...
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