JEFFERY J WILSON
NPI 1023597135
Counselor - Addiction (Substance Use Disorder) in Alliance, OH

Q: What is Jeffery Wilson's NPI number?

The NPI number for Jeffery Wilson is 1023597135. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Q: What is Jeffery Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Wilson was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2018

200 E STATE ST FL 3, ALLIANCE, OH 44601(330) 821-8503(330) 627-0088 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2019, Feb 11, 2019, Aug 9, 2018 (3 updates tracked since 2018).

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About Jeffery J Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERY J WILSON (NPI 1023597135) is an individual addiction (substance use disorder) provider in Alliance, Ohio, licensed in Ohio (CDCA172080) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1023597135

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJEFFERY J WILSON

Location Address200 E STATE ST FL 3Alliance, OH 44601

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716

Phone(330) 821-8503

Fax(330) 627-0088

Sole ProprietorNo

Enumeration DateAugust 9, 2018

Last NPPES UpdateNovember 14, 20193 updates tracked since enumeration

✔ NPI 1023597135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · CDCA172080

200 E STATE ST FL 3, Alliance, OH 44601

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Other Identifiers 1

Medicaid0319802OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ANN REGAL

Licensed Practical Nurse