Individual provider · Type 1 NPI

Juan Wilson, LCSW, LCAC

Addiction (Substance Use Disorder) Counselor · Fishers, IN

NPI number 1356059844 Active

Practice location

9623 Windermere Blvd
Fishers, IN 46037-9180

Mailing address

101 Diamond Ln
Crawfordsville, IN 47933-8320

Other practice locations

  • 101 Diamond Ln, Crawfordsville, IN 47933-8320 · (765) 918-3923

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X34010348A (IN)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X87001672A (IN)

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

2 other providers at this address

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About NPI 1356059844

Juan Wilson, LCSW, LCAC's National Provider Identifier is 1356059844, issued on Nov 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fishers, IN. The record was last updated on May 11, 2023.