Individual
CHRISTINE M WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
34570 STATE HIGHWAY 10 STE 5, HAMDEN, NY 13782
(607) 832-5675
Mailing address
PO BOX 145, DOWNSVILLE, NY 13755-0145
(845) 633-3199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26844
NY
Other
Enumeration date
06/06/2012
Last updated
06/15/2018
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