DWAYNE CHARLES WILSON
NPI 1093844839
Counselor - Addiction (Substance Use Disorder) in Bakersfield, CA
Active since March 05, 2007
About Dwayne Charles Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DWAYNE CHARLES WILSON (NPI 1093844839) is an individual addiction (substance use disorder) provider in Bakersfield, California, licensed in California (W1008111331) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1093844839
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDWAYNE CHARLES WILSON
Location Address1401 L STBakersfield, CA 93301-4522
Mailing AddressPo Box 1000Bakersfield, CA 93302-1000 · (661) 868-6138 · Fax (661) 868-6133
Phone(661) 868-6138
Fax(661) 868-6133
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1093844839 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · W1008111331
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1401 L ST, Bakersfield, CA 93301
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093844839, enumerated as an "individual" on March 05, 2007.
The provider is located at 1401 L ST BAKERSFIELD, CA 93301 and the phone number is (661) 868-6138.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).