| Toddie James Wilson I, | |
|
50450 Waters Edge Dr, Deer River, MN 56636-2889 | |
| (218) 368-1779 | |
| (218) 335-7294 |
| Full Name | Toddie James Wilson I |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 50450 Waters Edge Dr, Deer River, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104720655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12-0258-MA (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Toddie James Wilson I, 50450 Waters Edge Dr, Deer River, MN 56636-2889 Ph: (218) 368-1779 | Toddie James Wilson I, 50450 Waters Edge Dr, Deer River, MN 56636-2889 Ph: (218) 368-1779 |
Lindsay M Leemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Main Ave E, Deer River, MN 56636 Phone: 844-466-3720 Fax: 218-246-9849 |
Ashley Ann Seedorf, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Main Avenue, Deer River, MN 56636 Phone: 218-289-2590 Fax: 218-246-9849 |