Individual provider · Type 1 NPI

Melvyn Wilder Jr., CASAC

Addiction (Substance Use Disorder) Counselor · New York, NY

NPI number 1821239955 Active

Practice location

116 John St Fl 27
New York, NY 10038-3414

Call (212) 964-0128 Map

Fax (212) 964-0113

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18224 (NY)

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

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About NPI 1821239955

Melvyn Wilder Jr., CASAC's National Provider Identifier is 1821239955, issued on Mar 19, 2009. 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 Oct 29, 2010.