Individual provider · Type 1 NPI

Abigail Adeline Wilson, SST, CADC

Addiction (Substance Use Disorder) Counselor · Southgate, MI

NPI number 1407149586 Active

Practice location

14799 Dix Toledo Rd
Southgate, MI 48195-2507

Fax (734) 324-8327

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6803085526 (MI)

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

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About NPI 1407149586

Abigail Adeline Wilson, SST, CADC's National Provider Identifier is 1407149586, issued on May 23, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Southgate, MI. The record was last updated on May 23, 2011.