Individual provider · Type 1 NPI
Stanley Brewster Wilson Iii, CAC-AD
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1083871990
Active
Practice location
1501 Division St
Baltimore, MD 21217-3121
Fax (410) 383-3131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC1048 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1083871990
Stanley Brewster Wilson Iii, CAC-AD's National Provider Identifier is 1083871990, issued on May 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on May 19, 2008.