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

Otimbum Wilson Jr.

Individual provider Professional Counselor · NPI 1881122794

Otimbum Wilson Jr. is a Professional Counselor in Cleveland, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1744 Payne Ave
Cleveland, OH 44114-2910
Phone: (216) 623-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22001 Fairmount Blvd, Cleveland, OH 44118-4819 — (216) 932-2800

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2002019 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence 1600498 (OH)

Record details

NPI number1881122794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

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