Individual provider · Type 1 NPI

Holly K. Wilson

Addiction (Substance Use Disorder) Counselor · Mescalero, NM

NPI number 1245557958 Active

Practice location

107 Sunset Loop
Mescalero, NM 88340

Fax (575) 464-4331

Mailing address

PO Box 228
Mescalero, NM 88340-0228

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0119501 (NM)

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

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About NPI 1245557958

Holly K. Wilson's National Provider Identifier is 1245557958, issued on Apr 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mescalero, NM. The record was last updated on Apr 21, 2010.