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

Jeff Wilson, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235515776

Jeff Wilson, CDP is an Addiction (Substance Use Disorder) Counselor in Shelton, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015

Practice location Address checks out

611 W Cota St
Shelton, WA 98584-2241
Phone: (360) 426-5654
Fax: (360) 426-5641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60391036 (WA)

Record details

NPI number1235515776
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorNo
NPI enumeratedAugust 6, 2015
Last updated in NPPESAugust 6, 2015
Mailing address611 W Cota St, Shelton, WA 98584-2241

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