Individual provider · Type 1 NPI

Coral Lynn Wilson, RADT

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1063919769 Active

Practice location

4049 Miller Way
Sacramento, CA 95817-1332

Call (916) 451-9312 Map

Fax (916) 451-9312

Mailing address

3716 Fielding Cir
Sacramento, CA 95826-4420

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 1063919769

Coral Lynn Wilson, RADT's National Provider Identifier is 1063919769, issued on Apr 9, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Apr 9, 2018.