Individual provider · Type 1 NPI
Willie J. Wilson Jr., CAC-AD
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1245806439
Active
Practice location
3111 Clifton Ave
Baltimore, MD 21216-2734
Mailing address
3916 Annellen Rd
Baltimore, MD 21215-7215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC-1150 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245806439
Willie J. Wilson Jr., CAC-AD's National Provider Identifier is 1245806439, issued on May 28, 2021. 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 28, 2021.