Individual provider · Type 1 NPI
Lawrence Edward Wilson, NACAII, LADACII
Addiction (Substance Use Disorder) Counselor · Memphis, TN
NPI number
1902327018
Active
Practice location
1548 Poplar Ave
Memphis, TN 38104-2432
Fax (901) 729-2933
Mailing address
3543 Philsdale Ave
Memphis, TN 38111-5450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 016414 (VA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LDC0000000344 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1902327018
Lawrence Edward Wilson, NACAII, LADACII's National Provider Identifier is 1902327018, issued on Jun 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, TN. The record was last updated on Jun 28, 2017.