Individual provider · Type 1 NPI
Cornelius Al Wilson Jr.
Addiction (Substance Use Disorder) Counselor · Detroit, MI
NPI number
1851565568
Active
Practice location
15805 Baylis St, Ste # 101
Detroit, MI 48238-3915
Fax (313) 521-0228
Mailing address
5440 Cass Ave, Ste # 1209
Detroit, MI 48202-3668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1851565568
Cornelius Al Wilson Jr.'s National Provider Identifier is 1851565568, issued on Apr 15, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Apr 15, 2008.