Individual
PAULA F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CAC-P
Contact information
Practice address
335 CAULDER AVE, SPARTANBURG, SC 29306
(864) 541-5251
Mailing address
PO BOX 1252, SPARTANBURG, SC 29304-1252
(864) 707-2817
(864) 564-4117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD10SP
—
SC
Enumeration date
01/22/2007
Last updated
05/29/2018
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