Individual provider · Type 1 NPI

Elizabeth Kathleen Wilson

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1023228442 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Call (510) 792-4357 Map

Mailing address

908 Crestwood Dr
Modesto, CA 95350-1622

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023228442

Elizabeth Kathleen Wilson's National Provider Identifier is 1023228442, issued on May 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Apr 1, 2021.