Individual
DENNY MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA/OPRS
Contact information
Practice address
1445 FREDERICK BLVD, AKRON, OH 44320-3329
(330) 459-5563
(888) 422-2759
Mailing address
1445 FREDERICK BLVD, AKRON, OH 44320-3329
(330) 459-5563
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
001303
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001303
OHIO PEER RECOVERY SUPPORTER
OH
Enumeration date
06/24/2019
Last updated
06/24/2019
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