Individual
MR. LEVEN WILSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7920 GUNN HWY, TAMPA, FL 33626-1613
(813) 997-9893
Mailing address
6350 W MACLAURIN DR, TAMPA, FL 33647-1164
(813) 455-1826
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/20/2008
Last updated
05/06/2021
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