Individual provider · Type 1 NPI

Carmen Marie Wilson

Addiction (Substance Use Disorder) Counselor · Moorhead, MN

NPI number 1740874536 Active

Practice location

725 Center Ave
Moorhead, MN 56560-1958

Call (507) 720-7775 Map

Fax (218) 287-1267

Mailing address

PO Box 128
Pillager, MN 56473-0128

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X2467908 (MN)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302876 (MN)

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

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About NPI 1740874536

Carmen Marie Wilson's National Provider Identifier is 1740874536, issued on Feb 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moorhead, MN. The record was last updated on Feb 23, 2021.