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

Benjamin Joseph Robert Wilson, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245723493

Benjamin Joseph Robert Wilson, CDP is an Addiction (Substance Use Disorder) Counselor in Omak, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

1007 Koala Dr
Omak, WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-3029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CG61271846 (WA)

Record details

NPI number1245723493
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address1007 Koala Dr, Omak, WA 98841-9247

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