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Individual
BENJAMIN JOSEPH ROBERT WILSON
Active
Individual
BENJAMIN JOSEPH ROBERT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP.CP.60285822
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG61271846
WA
Other
Enumeration date
06/12/2018
Last updated
08/28/2026
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