Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2780 AIRPORT DR STE 100, COLUMBUS, OH 43219-2289
(614) 859-1906
(614) 645-5517
Mailing address
2780 AIRPORT DR STE 100, COLUMBUS, OH 43219-2289
(614) 859-1906
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
091086
OH
1041C0700X
Clinical Social Worker
Primary
I.1302802-SUPV
OH
1041C0700X
Clinical Social Worker
S1100574
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/08/2007
Last updated
03/15/2022
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