Individual
MR. WILBERT SINCLAIR NICHOLSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSCA
Contact information
Practice address
10174 NC HIGHWAY 305, JACKSON, NC 27845-9685
(919) 384-6033
Mailing address
10174 NC HIGHWAY 305, JACKSON, NC 27845-9685
(919) 384-6033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-22055
NC
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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