Individual provider · Type 1 NPI

Ellen Grace Wilder, CSAC

Addiction (Substance Use Disorder) Counselor · Glen Allen, VA

NPI number 1598669152 Active

Practice location

3974 Springfield Rd
Glen Allen, VA 23060-4119

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0710104131 (VA)

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

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About NPI 1598669152

Ellen Grace Wilder, CSAC's National Provider Identifier is 1598669152, issued on Oct 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glen Allen, VA. The record was last updated on Oct 6, 2026.