Individual provider · Type 1 NPI

Ralph Wilson, CASAC

Addiction (Substance Use Disorder) Counselor · Sanborn, NY

NPI number 1053484196 Active

Practice location

6301 Inducon Dr E
Sanborn, NY 14132-9014

Fax (716) 731-3010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16872 (NY)

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

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About NPI 1053484196

Ralph Wilson, CASAC's National Provider Identifier is 1053484196, issued on Nov 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sanborn, NY. The record was last updated on Jul 8, 2007.