Individual
DAVID GERARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
1802 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-4232
(301) 742-5623
Mailing address
1802 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-4232
(301) 742-5623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC3466
MD
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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