Male or Other

Mr. Leven Wilson

Counselor in Tampa, FL(View on Map)

Full Name

Mr. Leven Wilson

NPI Number

1508011321

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/20/2008

Specialties

(Taxonomies)

Code

101Y00000X
101YA0400X
171M00000X
104100000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

6350 W MACLAURIN DR
7920 GUNN HWY

City

Tampa
Tampa

State

FL
FL

Postal Code

33647-1164
33626-1613

Country

US
US

Telephone Number

(813) 455-1826
(813) 997-9893

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/06/2021

Provider Address

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