Individual provider · Type 1 NPI
Shirley Marie Wilson, C.A.S.A.C.
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1730335035
Active
Practice location
500 8th Ave, 3rd Floor
New York, NY 10018-6504
Mailing address
25307 148th Dr
Rosedale, NY 11422-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20123 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730335035
Shirley Marie Wilson, C.A.S.A.C.'s National Provider Identifier is 1730335035, issued on Aug 18, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Aug 18, 2008.