Individual
JODI LYN WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LISAC, LPC
Contact information
Practice address
1901 N TREKELL RD, CASA GRANDE, AZ 85222-1770
(520) 421-2566
(520) 421-2775
Mailing address
1901 N TREKELL RD, CASA GRANDE, AZ 85222-1770
(520) 421-2566
(520) 421-2775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1101
AZ
101YP2500X
Professional Counselor
LPC-12135
AZ
Other
Enumeration date
10/12/2006
Last updated
09/11/2025
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