CHRISTI LYNN WILSON
NPI 1356043657
Counselor - Addiction (Substance Use Disorder) in Medford, OR
Active since March 20, 2023
About Christi Lynn Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTI LYNN WILSON (NPI 1356043657) is an individual addiction (substance use disorder) provider in Medford, Oregon and active in the NPI registry since March 2023. She maintains a secondary practice location in Phoenix.
NPPES Registry Identity
NPI1356043657
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHRISTI LYNN WILSON
Location Address3512 LONE PINE RDMedford, OR 97504-5637
Mailing Address300 W Main StMedford, OR 97501-2756 · (541) 772-1777
Phone(541) 772-1777
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedFebruary 25, 2023
✔ NPI 1356043657 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
3512 LONE PINE RD, Medford, OR 97504
Other Names 1
Other Name (5)Christi Lynn Wilson Christi Larsen
Secondary Practice Location 1
Location 15505 N Pacific HighwayPhoenix, OR 97535 · Phone (541) 774-6610
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 1356043657, enumerated as an "individual" on March 20, 2023.
The provider is located at 3512 LONE PINE RD MEDFORD, OR 97504 and the phone number is (541) 772-1777.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
