Individual
MR. NATHANIEL WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 APEX LANDING WAY APT 102, CHARLOTTE, NC 28217-4644
(704) 840-5530
(704) 595-3120
Mailing address
2325 APEX LANDING WAY APT 102, CHARLOTTE, NC 28217-4644
(704) 840-5530
(704) 595-3120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22744
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
1041C0700X
Clinical Social Worker
—
NC
Other
Enumeration date
05/04/2016
Last updated
04/25/2023
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