Wilson, Rayshawn L

Wilson, Rayshawn L is an individual health care provider with primary practice located at 320 Executive Dr , Marion OH 43302-6310. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wilson, Rayshawn L can be contacted via phone (740) 387-5210.

Contact Information

Primary practice address
320 Executive Dr Marion OH 43302-6310
Phone: (740) 387-5210
Fax: (740) 382-3713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1205175841
LBN Legal business name Wilson, Rayshawn L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Feb 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205175841 NPPES
Ohio Other 123456 OHIO MENTAL HEALTH BOARD

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