Individual provider · Type 1 NPI
Lori Sue Wilson, MSW, LISAC
Addiction (Substance Use Disorder) Counselor · Tucson, AZ
NPI number
1629256409
Active
Practice location
2480 N Palo Verde Blvd, #103
Tucson, AZ 85716-2548
Mailing address
7464 S Nevil Dr
Tucson, AZ 85746-2565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-11771 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629256409
Lori Sue Wilson, MSW, LISAC's National Provider Identifier is 1629256409, issued on Feb 4, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tucson, AZ. The record was last updated on Feb 4, 2008.