Individual provider · Type 1 NPI

Susan A. Wilson, LAC

Mental Health Counselor · Fair Lawn, NJ

NPI number 1902303035 Active

Practice location

22-08 Route 208
Fair Lawn, NJ 07410-2609

Mailing address

1347 Paddington Rd
Mahwah, NJ 07430-3258

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00381600 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1902303035

Susan A. Wilson, LAC's National Provider Identifier is 1902303035, issued on Apr 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 5, 2018.