Individual
ANDREA DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF ARTS
Contact information
Practice address
2400 SOUTHEAST BLVD STE B, SALEM, OH 44460, SALEM, OH 44460
(330) 779-1897
(330) 779-8225
Mailing address
137 BELLFLOWER AVE NW, CANTON, OH 44708-5603
(330) 371-1695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CDCAPRE.195140
OH
171M00000X
Case Manager/Care Coordinator
Primary
0279926
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
02/22/2018
Last updated
03/20/2026
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