Individual provider · Type 1 NPI
Ebony N. Wilson, LPC, LADC
Professional Counselor · Torrington, CT
NPI number
1023536463
Active
Practice location
65 Highfield Dr
Torrington, CT 06790-5826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1267 (CT) |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 4405 (CT) |
Professional Counselor: Definition to come...
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About NPI 1023536463
Ebony N. Wilson, LPC, LADC's National Provider Identifier is 1023536463, issued on Sep 6, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Torrington, CT. The record was last updated on Feb 2, 2021.