Individual provider · Type 1 NPI

Wilbert Sinclair Nicholson Jr., CSCA

Addiction (Substance Use Disorder) Counselor · Jackson, NC

NPI number 1699148205 Active

Practice location

10174 Nc Highway 305
Jackson, NC 27845-9685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCSAC-22055 (NC)

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

About NPI 1699148205

Wilbert Sinclair Nicholson Jr., CSCA's National Provider Identifier is 1699148205, issued on Nov 4, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, NC. The record was last updated on Nov 4, 2015.