Individual
JAMES HUNTER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC QMHA
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
(541) 504-1195
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 883-2795
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-10-10
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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