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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912921743

Dr. Mia R Wilson, EDD is an Addiction (Substance Use Disorder) Counselor in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

5379 Lenox Ave
Jacksonville, FL 32205-4737
Phone: (904) 891-6614
Fax: (904) 378-9922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH8078 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2435 (FL)

Record details

NPI number1912921743
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 23, 2014

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