Individual provider · Type 1 NPI

Terry Lamont Wilson

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1386852143 Active

Practice location

3741 Stocker St Ste 210
Los Angeles, CA 90008-5109

Call (323) 298-5651 Map

Mailing address

1117 W 45th St
Los Angeles, CA 90037-2406

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1386852143

Terry Lamont Wilson's National Provider Identifier is 1386852143, issued on May 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.