Individual
CAITLYN MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 CLOVERDALE AVE, CINCINNATI, OH 45246-2205
(513) 341-1874
Mailing address
501 CLOVERDALE AVE, CINCINNATI, OH 45246-2205
(513) 341-1874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193654
OH
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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