MR. BRYANT M WILSON
NPI 1982741443
Counselor - Addiction (Substance Use Disorder) in San Andreas, CA
Active since January 31, 2007
About Mr. Bryant M Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRYANT M WILSON (NPI 1982741443) is an individual addiction (substance use disorder) provider in San Andreas, California and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1982741443
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BRYANT M WILSON
Location Address891 MOUNTAIN RANCH RDSan Andreas, CA 95249-9713
Mailing Address2541 Heinemann DrValley Springs, CA 95252-8854 · (209) 772-1621
Phone(209) 754-6555
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982741443 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
891 MOUNTAIN RANCH RD, San Andreas, CA 95249
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.
Psychiatry & Neurology (Psychiatry)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
Psychiatry & Neurology (Psychiatry)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
Marriage & Family Therapist
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
Student in an Organized Health Care Education/Training Program
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
Student in an Organized Health Care Education/Training Program
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
SAN ANDREAS, CA 95249
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982741443, enumerated as an "individual" on January 31, 2007.
The provider is located at 891 MOUNTAIN RANCH RD SAN ANDREAS, CA 95249 and the phone number is (209) 754-6555.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).