Individual
MR. BRIAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CADC-R
Contact information
Practice address
1699 OLD US 70 HWY W, CLAYTON, NC 27520-6566
(919) 359-1699
Mailing address
212 TAVISTOCK CT, CLAYTON, NC 27520-2184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29433
NC
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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