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

Mr. James Vernon Wilson, MA, LISAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689847386

Mr. James Vernon Wilson, MA, LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2123 W Chambers St
Phoenix, AZ 85041-3720
Phone: (602) 276-5653
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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 11800 (AZ)

Record details

NPI number1689847386
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LISAC
Sole proprietorYes
NPI enumeratedApril 2, 2008
Last updated in NPPESApril 2, 2008

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