Individual
ANDREW J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDACI
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
Mailing address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1396430720
CA
Other
Enumeration date
07/27/2020
Last updated
02/22/2021
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