Individual
MRS. DEBBIE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ICADC, CCS-DP-S
Contact information
Practice address
2091 PROFESSIONAL DR, FLINT, MI 48532-3657
(810) 732-1652
(810) 732-1735
Mailing address
2091 PROFESSIONAL DR, FLINT, MI 48532-3657
(810) 732-1652
(810) 732-1735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-04055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509109640
BCBS
MI
Enumeration date
02/29/2008
Last updated
01/31/2017
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