Individual provider · Type 1 NPI

Angela Byrd Wilson, CCAC II

Addiction (Substance Use Disorder) Counselor · Atlanta, GA

NPI number 1306656285 Active

Practice location

5680 Fulton Industrial Blvd SW
Atlanta, GA 30336-2659

Mailing address

7263 Bluestone Dr
Riverdale, GA 30296-1513

Other practice locations

  • 7263 Bluestone Dr, Riverdale, GA 30296-1513 · (404) 484-9640

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X87881 (GA)

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

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About NPI 1306656285

Angela Byrd Wilson, CCAC II's National Provider Identifier is 1306656285, issued on Jan 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atlanta, GA. The record was last updated on Jan 13, 2025.