Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKY DALE WILSON
Active Sole ProprietorRICKY DALE WILSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FAIRFIELD, Ohio. NPI 1174159610 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FAIRFIELD, OH
Registration Details
- NPI Number
- 1174159610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2020 (6.3867961725778 yrs)
- Last Updated
- Sep 1, 2020
- License
-
CDCA.174383 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6570 SOSNA DRFAIRFIELD, OH, 450142222Browse OH providers · Browse ZIP 45014
- Phone
- 5139424673
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Behavior Technician
Other Addiction (Substance Use Disorder) Counselor Providers in FAIRFIELD, OH
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES WILLIAM EASTLICK | LICDC, LPC, M.ED. | 1982735189 |
| JOY HARRIS | LICDC | 1629456942 |
| SAMANTHA STANT | RN, CDCA | 1972976058 |
| KAMILAH MATHIEU | — | 1598114803 |
| KATRINA KANIGOSKI | LCDCII | 1013469931 |
| SUSAN GIARDINA | LCDCIII | 1750828828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.