Mr. Tyrolia Dejuan Wilson
Mr. Tyrolia Dejuan Wilson is an Addiction (Substance Use Disorder) Counselor in Kansas City, Kansas. Licensed in Kansas. Registered with an NPI since 2017.
- Licensed in
- KS
- In the registry since
- 2017
Practice location Address checks out
1121 N 5th StKansas City, KS 66101-2305
Phone: (913) 831-2820
Fax: (913) 831-0262
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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 949 (KS) |
|---|
Record details
| NPI number | 1588194450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2017 |
| Last updated in NPPES | June 14, 2017 |
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