person
Angel Wilson, CADC#32962
Addiction (Substance Use Disorder) Counselor in Decatur, Illinois
NPI 1396224010

Angel Wilson is an Addiction (Substance Use Disorder) Counselor based in Decatur, IL and is specialized in Addiction (Substance Use Disorder). Angel Wilson practices in Decatur, IL and has the professional credentials of CADC#32962. The NPI Number for Angel Wilson is 1396224010 and holds a License No. 32962 (Illinois).

The current practice location address for Angel Wilson is 335 E Wood St Ste B, Decatur, IL and can be reached out via phone at 217-422-6908 and via fax at 217-422-7103.

Location: 335 E Wood St Ste B, Decatur, IL, 62523-1431
person
Provider Profile Details
NPI Number
1396224010
Provider Name
Angel Wilson
Credential
CADC#32962
Provider Entity Type
Individual
Gender
Female
Address
335 E Wood St Ste B, Decatur, IL, 62523-1431
Phone Number
217-422-6908
Fax Number
217-422-7103
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
335 E Wood St Ste B
City
State
Zip
62523-1431
Phone Number
217-422-6908
Fax Number
217-422-7103
person
Provider Business Mailing Address Details
Address
335 E Wood St Ste B
City
State
Zip
62523-1431
Phone Number
217-422-6908
Fax Number
217-422-7103
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
32962 (Illinois)
Definition
Definition to come...
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