Provider Demographics
NPI:1831891399
Name:WILSON, CHRISTEN
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 LINCOLN AVE APT D
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-3152
Mailing Address - Country:US
Mailing Address - Phone:740-632-6896
Mailing Address - Fax:
Practice Address - Street 1:1140 LINCOLN AVE APT D
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-3152
Practice Address - Country:US
Practice Address - Phone:740-632-6896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator