Individual
MR. JAMES LESTER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
19600 EUCLID AVE APT 207, EUCLID, OH 44117-1437
(216) 414-1013
Mailing address
19600 EUCLID AVE APT 207, EUCLID, OH 44117-1437
(216) 414-1013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
182190
OH
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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