Jamal Wilson, is a
Counselor - Addiction (substance Use Disorder) based in Mason, Ohio. Jamal Wilson is licensed to practice in * (Not Available) (license number ) and his current practice location is
5408 Harbourwatch Way Apt 303, Mason, Ohio. He can be reached at his office (for appointments etc.) via phone at
(248) 755-5301.
NPI number for Jamal Wilson is 1972112217 and his current mailing address is 5408 Harbourwatch Way Apt 303, Mason, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972112217.
Healthcare Provider's Profile
Full Name | Jamal Wilson |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 5408 Harbourwatch Way Apt 303, Mason, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972112217
- Provider Enumeration Date: 07/22/2020
- Last Update Date: 01/11/2023
Medical Identifiers
Medical identifiers for Jamal Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972112217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 33.024863 (Ohio) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamal Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamal Wilson, 5408 Harbourwatch Way Apt 303, Mason, OH 45040-8392 Ph: () - | Jamal Wilson, 5408 Harbourwatch Way Apt 303, Mason, OH 45040-8392 Ph: (248) 755-5301 |
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