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

Isaiah Wilson, PLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417879404

Isaiah Wilson, PLADC is an Addiction (Substance Use Disorder) Counselor in Scottsbluff, Nebraska. Licensed in Nebraska. Registered with an NPI since 2026.

Licensed in
NE
In the registry since
2026

Practice location Address checks out

1509 1st Ave
Scottsbluff, NE 69361-3106
Phone: (308) 635-1488
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 P-2439 (NE)

Record details

NPI number1417879404
Entity typeIndividual (Type 1)
GenderMale
Credentials PLADC
Sole proprietorNo
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address1509 1st Ave, Scottsbluff, NE 69361-3106

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