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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6803085526 (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.