Individual provider · Type 1 NPI
Ivory Wilson, MA, LAC, CCDP-D
Addiction (Substance Use Disorder) Counselor · Baton Rouge, LA
NPI number
1861248866
Active
Practice location
440 N Foster Dr Fl 2
Baton Rouge, LA 70806-3561
Fax (844) 947-4494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1861248866
Ivory Wilson, MA, LAC, CCDP-D's National Provider Identifier is 1861248866, issued on Apr 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 29, 2024.