CHRISTIAN ZACHARY WILSON

PHOENIX, OR
NPI1538840178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
CHRISTIAN ZACHARY WILSON
149 S MAIN ST
PHOENIX, OR 97535-6631
Phone number: 541-535-4133
Mailing Address
CHRISTIAN ZACHARY WILSON
149 S MAIN ST
PHOENIX, OR 97535-6631
Phone number:
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