| Jeff Wilson, CDP | |
|
611 W Cota St, Shelton, WA 98584-2241 | |
| (360) 426-5654 | |
| (360) 426-5641 |
| Full Name | Jeff Wilson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 611 W Cota St, Shelton, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60391036 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Wilson, CDP 611 W Cota St, Shelton, WA 98584-2241 Ph: (360) 426-5654 | Jeff Wilson, CDP 611 W Cota St, Shelton, WA 98584-2241 Ph: (360) 426-5654 |
Lisa Hammond, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Dylan Glebe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
James P Fernandes, MA , MHP, CAAR Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W K St, Shelton, WA 98584 Phone: 360-426-1696 | |
Weston Joseph Broussard Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8002 | |
Theresa Richards, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 S 3rd St, Shelton, WA 98584 Phone: 360-426-0890 | |
Milonna Close, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 Fax: 360-839-2820 | |
Devin Ray Allen, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Cota St, Shelton, WA 98584 Phone: 360-205-8001 |