Individual
MR. NOAH JEFFREY ALLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60950596
WA
Other
Enumeration date
06/19/2020
Last updated
09/07/2023
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