person
Carmen Marie Wilson
Addiction (Substance Use Disorder) Counselor in Moorhead, Minnesota
NPI 1740874536

Carmen Marie Wilson is an Addiction (Substance Use Disorder) Counselor based in Pillager, MN and is specialized in Addiction (Substance Use Disorder). Carmen Marie Wilson practices in Moorhead, MN. The NPI Number for Carmen Marie Wilson is 1740874536 and holds a License No. 2467908 (Minnesota).

The current practice location address for Carmen Marie Wilson is 725 Center Ave, Moorhead, MN and can be reached out via phone at 507-720-7775 and via fax at 218-287-1267. You can also correspond with Carmen Marie Wilson through the mailing address at PO BOX 128, PILLAGER, MN - 56473-0128 (mailing address contact number: 507-720-7775).

Location: 725 Center Ave, Moorhead, MN, 56473-0128
person
Provider Profile Details
NPI Number
1740874536
Provider Name
Carmen Marie Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 Center Ave, Moorhead, MN, 56473-0128
Phone Number
507-720-7775
Fax Number
218-287-1267
Provider Enumeration Date
02/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1444799 01 MN MN DHS
institution
Provider Business Practice Location Address Details
Address
725 Center Ave
City
State
Zip
56560-1958
Phone Number
507-720-7775
Fax Number
218-287-1267
person
Provider Business Mailing Address Details
Address
Po Box 128
City
State
Zip
56473-0128
Phone Number
507-720-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302876 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2467908 (Minnesota)
Definition
Definition to come...
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