Carol Jean Wilson in Missoula - Addiction (substance Use Disorder)
Carol Jean Wilson - NPI 1447378161
Carol Jean Wilson is a Addiction (substance Use Disorder) in Missoula, Montana. Carol Jean Wilson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Carol Jean Wilson is 1447378161. The last update date is 2007-07-09.
Carol Jean Wilson's current location address is 612 Parkview Way, Missoula, Montana. You can contact this provider via phone number 4065493164. The mailing address for Carol Jean Wilson is 612 Parkview Way, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Jean Wilson |
|---|---|
| Address | 612 Parkview Way, Missoula, Montana |
| Phone Number | 4065493164 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1447378161 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 612 Parkview Way |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598032231 |
| Phone Number | 4065493164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 700 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36192 | MT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carol Jean Wilson by the Centers for Medicare & Medicaid Services?
The Carol Jean Wilson has been issued the NPI (National Provider Identifier) 1447378161. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carol Jean Wilson's facilities are situated?
The facilities of Carol Jean Wilson are physically located at the following address: 612 Parkview Way, Missoula, MT, 598032231.
What is Carol Jean Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol Jean Wilson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447378161 to Carol Jean Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1447378161 to Carol Jean Wilson on 2007-03-27.
As of what date were the details pertaining to Carol Jean Wilson last refreshed?
The information related to the Carol Jean Wilson, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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