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
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87881 (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.