Justin Wilson
Addiction Counselor (Substance Use Disorder)
3125 E 7th St
Long Beach
, California 90804-4932
Justin Wilson
Addiction Counselor (Substance Use Disorder)
3125 E 7th St
Long Beach
, California 90804-4932
(562) 987-4586
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Justin Wilson
- 1041 Redondo Ave
- Long Beach, CA
- Zip : 90804-3928
- Fax : (562) 987-4586
- Phone : (562) 987-5722
Second Address
- Justin Wilson
- 3125 E 7th St
- Long Beach, CA
- Zip : 90804-4932
- Fax : (562) 987-4586
- Phone : (562) 987-5722
Reviews
FAQs
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What type of doctor is Justin Wilson
In what state does Justin Wilson practice in?
Where is Justin Wilson ’s practice located?
What is Justin Wilson ’s gender?
Is Justin Wilson a sole practitioner?
Is Justin Wilson accepting new patients?
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Does Justin Wilson offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003472739 |
|---|---|
| Provider Name | Justin Wilson |
| First Address | Long Beach, CA 90804-3928 |
| Second Address | Long Beach, CA 90804-4932 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2019 |
| Last Update Date | 17/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 190077AHN | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.