person
Mr. Michael Tyler Wilson, ADT
Addiction (Substance Use Disorder) Counselor in Elkton, Maryland
NPI 1821749565

Michael Tyler Wilson is an Addiction (Substance Use Disorder) Counselor based in Elkton, MD and is specialized in Addiction (Substance Use Disorder). Michael Tyler Wilson practices in Elkton, MD and has the professional credentials of ADT. The NPI Number for Michael Tyler Wilson is 1821749565 and holds a License No. (Maryland).

The current practice location address for Michael Tyler Wilson is 212 Blue Ball Ave, Elkton, MD and can be reached out via phone at 410-620-6077 and via fax at 410-620-6081.

Location: 212 Blue Ball Ave, Elkton, MD, 21921-5222
person
Provider Profile Details
NPI Number
1821749565
Provider Name
Michael Tyler Wilson
Credential
ADT
Provider Entity Type
Individual
Gender
Male
Address
212 Blue Ball Ave, Elkton, MD, 21921-5222
Phone Number
410-620-6077
Fax Number
410-620-6081
Provider Enumeration Date
01/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
212 Blue Ball Ave
City
State
Zip
21921-5222
Phone Number
410-620-6077
Fax Number
410-620-6081
person
Provider Business Mailing Address Details
Address
212 Blue Ball Ave
City
State
Zip
21921-5222
Phone Number
410-620-6077
Fax Number
410-620-6081
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Maryland)
Definition
Definition to come...
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