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JEFF WILSON CDP
NPI 1235515776
Counselor - Addiction (Substance Use Disorder) in Shelton, WA

Active since August 06, 2015
611 W COTA ST, SHELTON, WA 98584(360) 426-5654(360) 426-5641 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff Wilson Cdp NPPES

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

JEFF WILSON CDP (NPI 1235515776) is an individual addiction (substance use disorder) provider in Shelton, Washington, licensed in Washington (CP60391036) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1235515776
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEFF WILSONCredential: CDP
Location Address611 W COTA STShelton, WA 98584-2241
Mailing Address611 W Cota StShelton, WA 98584-2241 · (360) 426-5654 · Fax (360) 426-5641
Phone(360) 426-5654
Fax(360) 426-5641
Sole ProprietorNo
Enumeration DateAugust 6, 2015
✔ NPI 1235515776 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 WA · CP60391036
611 W COTA ST, Shelton, WA 98584
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Other Providers at the Same Location NPPES

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

SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
611 W COTA ST
SHELTON, WA 98584
Mason County (360) 426-5654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Wilson's NPI number?

The NPI number for Jeff Wilson is 1235515776. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Jeff Wilson located?

Jeff Wilson practices at 611 W Cota St, Shelton, WA 98584. The listed phone number is (360) 426-5654.

What is Jeff Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeff Wilson was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.