Individual provider · Type 1 NPI

Nicholas Frederick Wilson, BSW, CASAC

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1306211792 Active

Practice location

11630 Sutphin Blvd
Jamaica, NY 11434-1527

Call (718) 322-2500 Map

Fax (718) 322-1881

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20345 (NY)

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

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About NPI 1306211792

Nicholas Frederick Wilson, BSW, CASAC's National Provider Identifier is 1306211792, issued on Dec 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Dec 10, 2015.