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Ms. Annette Wilson, CASAC-T
Addiction (Substance Use Disorder) Counselor in Port Jervis, New York
NPI 1417617887

Annette Wilson is an Addiction (Substance Use Disorder) Counselor based in Port Jervis, NY and is specialized in Addiction (Substance Use Disorder). Annette Wilson practices in Port Jervis, NY and has the professional credentials of CASAC-T. The NPI Number for Annette Wilson is 1417617887 and holds a License No. 37087 (New York).

The current practice location address for Annette Wilson is 123 Pike St, Port Jervis, NY and can be reached out via phone at 845-856-7576.

Location: 123 Pike St, Port Jervis, NY, 12771-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417617887
Provider Name
Annette Wilson
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Female
Address
123 Pike St, Port Jervis, NY, 12771-1824
Phone Number
845-856-7576
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Pike St
City
Port Jervis
State
New York
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
person
Provider Business Mailing Address Details
Address
123 Pike St
City
Port Jervis
State
New York
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
37087 (New York)
Definition
Definition to come...
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