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NPI Code Detail

MEDICARE: MS. ALIYAH WILSON M.ED., LPCC

MEDICARE: MS. ALIYAH WILSON M.ED., LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorC.1700415OH
2101YM0800XMental Health CounselorE.2102295OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093235566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALIYAH WILSON M.ED., LPCC
Provider Business Mailing Address
First Line : 24781 PICONE LN
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1948
Country : US
Telephone Number : 216-513-7044
Fax Number :
Provider Business Practice Location Address
First Line : 7031 CORPORATE WAY STE 103
Second Line :
City : DAYTON
State : OH
Zip : 45459-4262
Country : US
Telephone Number : 937-619-9089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 05/11/2022

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