Individual provider · Type 1 NPI

Constance Marie Wilson, CASAC-T

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1245760107 Active

Practice location

2369 2nd Ave
New York, NY 10035-3108

Call (212) 876-2300 Map

Fax (212) 722-7618

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 1245760107

Constance Marie Wilson, CASAC-T's National Provider Identifier is 1245760107, issued on Jun 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 21, 2022.