Individual provider · Type 1 NPI

Michael Tyler Wilson, ADT

Addiction (Substance Use Disorder) Counselor · Elkton, MD

NPI number 1821749565 Active

Practice location

212 Blue Ball Ave
Elkton, MD 21921-5222

Fax (410) 620-6081

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1821749565

Michael Tyler Wilson, ADT's National Provider Identifier is 1821749565, issued on Jan 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkton, MD. The record was last updated on Jan 14, 2022.