Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alva Justin Wilson

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1205673365

Alva Justin Wilson is a Mental Health Clinic/Center (Including Community Mental Health Center) in Portsmouth, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

411 Court St
Portsmouth, OH 45662-3932
Phone: (740) 354-6685
Fax: (740) 876-4005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X (OH)

Record details

NPI number1205673365
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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