person
Mr. Johnnie Lefuel Wilson IV, LCASA
Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina
NPI 1770041592

Johnnie Lefuel Wilson IV is an Addiction (Substance Use Disorder) Counselor based in Fayetteville, NC and is specialized in Addiction (Substance Use Disorder). Johnnie Lefuel Wilson IV practices in Fayetteville, NC and has the professional credentials of LCASA. The NPI Number for Johnnie Lefuel Wilson IV is 1770041592 and holds a License No. A25300 (North Carolina).

The current practice location address for Johnnie Lefuel Wilson IV is 6307 Melody Ln, Fayetteville, NC and can be reached out via phone at 910-627-7210.

Location: 6307 Melody Ln, Fayetteville, NC, 28304-5554
person
Provider Profile Details
NPI Number
1770041592
Provider Name
Johnnie Lefuel Wilson IV
Credential
LCASA
Provider Entity Type
Individual
Gender
Male
Address
6307 Melody Ln, Fayetteville, NC, 28304-5554
Phone Number
910-627-7210
Fax Number
Provider Enumeration Date
03/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6307 Melody Ln
City
State
Zip
28304-5554
Phone Number
910-627-7210
Fax Number
person
Provider Business Mailing Address Details
Address
6307 Melody Ln
City
State
Zip
28304-5554
Phone Number
910-627-7210
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A25300 (North Carolina)
Definition
Definition to come...
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