Individual
HILLARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 SIGNAL HILL DR EXT, STATESVILLE, NC 28625-4391
(704) 872-0234
Mailing address
1718 MIMOSA AVE, CHARLOTTE, NC 28205-3022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28437
NC
101YM0800X
Mental Health Counselor
A18244
NC
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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