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Individual
JASON LUKE WILSON
Active
Individual
JASON LUKE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189003
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
Other
Enumeration date
10/04/2023
Last updated
07/10/2024
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