Individual provider · Type 1 NPI
Samuel Carl Wilson, PRS
Peer Specialist · Willingboro, NJ
NPI number
1881452019
Active
Practice location
15 Hawthorne Ln
Willingboro, NJ 08046-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
About NPI 1881452019
Samuel Carl Wilson, PRS's National Provider Identifier is 1881452019, issued on Mar 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Willingboro, NJ. The record was last updated on Mar 12, 2024.