IndividualActive
Coby Wilson
NPI 1669157749 · Addiction (Substance Use Disorder) Counselor · Lakeview, OR
Provider details
- NPI number
- 1669157749
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
215 N G St
Lakeview, OR 97630-1417
Phone: (541) 947-6021
Approximate (ZIP-level) locationGet directions
Mailing address
215 N G St
Lakeview, OR 97630-1417
Registry dates
- Enumerated
- 2023-06-16
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.