Individual provider · Type 1 NPI

Michelle Wilson, CADC I

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1922624196 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Call (818) 582-8832 Map

Fax (818) 582-8836

Mailing address

27091 Pinario
Mission Viejo, CA 92692-3204

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI06351016 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922624196

Michelle Wilson, CADC I's National Provider Identifier is 1922624196, issued on Jun 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Sep 28, 2020.