Individual
DOTTIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA.174182
Contact information
Practice address
2903 S 5TH ST, IRONTON, OH 45638-2866
(740) 646-6640
Mailing address
2117 S 7TH ST, IRONTON, OH 45638-2538
(606) 442-7044
(866) 475-7263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174182
OH
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
09/08/2023
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