Individual provider · Type 1 NPI

Kortney Brooke Wilson, CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1356299150 Active

Practice location

750 Astor Ave Fl 2
Bronx, NY 10467-9304

Call (718) 517-9007 Map

Fax (347) 899-8057

Mailing address

3225 Olinville Ave Apt 1G
Bronx, NY 10467-6375

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X41426 (NY)

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

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About NPI 1356299150

Kortney Brooke Wilson, CASAC's National Provider Identifier is 1356299150, issued on Mar 18, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Mar 18, 2026.