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Individual

BRANDY WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
407 E LIVINGSTON AVE, COLUMBUS, OH 43215-5531
(678) 333-5031
Mailing address
881 E MAIN ST, COLUMBUS, OH 43205-1713

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
192331
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.188011
172V00000X
Community Health Worker

Other

Enumeration date
04/04/2024
Last updated
02/19/2026
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