Individual
EVELYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC, SAP
Contact information
Practice address
PREFERRED BEHAVIORAL HEALTH CPSAI, 700 AIPORT ROAD, LAKEWOOD, NJ 08701
(732) 367-4700
(732) 364-2253
Mailing address
209 W HUDSON AVE, ENGLEWOOD, NJ 07631-1610
(201) 871-8611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
498
NY
1041C0700X
Clinical Social Worker
Primary
R35525
NY
Other
Enumeration date
02/15/2007
Last updated
09/11/2025
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