person
Ralph Wilson, CASAC
Addiction (Substance Use Disorder) Counselor in Sanborn, New York
NPI 1053484196

Ralph Wilson is an Addiction (Substance Use Disorder) Counselor based in Sanborn, NY and is specialized in Addiction (Substance Use Disorder). Ralph Wilson practices in Sanborn, NY and has the professional credentials of CASAC. The NPI Number for Ralph Wilson is 1053484196 and holds a License No. 16872 (New York).

The current practice location address for Ralph Wilson is 6301 Inducon Dr E, Sanborn, NY and can be reached out via phone at 716-731-2030 and via fax at 716-731-3010.

Location: 6301 Inducon Dr E, Sanborn, NY, 14132-9014
person
Provider Profile Details
NPI Number
1053484196
Provider Name
Ralph Wilson
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
6301 Inducon Dr E, Sanborn, NY, 14132-9014
Phone Number
716-731-2030
Fax Number
716-731-3010
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16872 01 NY CASAC
institution
Provider Business Practice Location Address Details
Address
6301 Inducon Dr E
City
State
Zip
14132-9014
Phone Number
716-731-2030
Fax Number
716-731-3010
person
Provider Business Mailing Address Details
Address
6301 Inducon Dr E
City
State
Zip
14132-9014
Phone Number
716-731-2030
Fax Number
716-731-3010
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16872 (New York)
Definition
Definition to come...
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