Individual
FRAZIER CLETHON WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW, LADAC
Contact information
Practice address
2418 MILES RD SE, ALBUQUERQUE, NM 87106-3224
(505) 974-7602
(505) 842-1503
Mailing address
2418 MILES RD SE, ALBUQUERQUE, NM 87106-3224
(505) 974-7602
(505) 842-1503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0093531
NM
1041C0700X
Clinical Social Worker
Primary
I-06709
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093531
LICENSE
NM
01
—
I-06709
LICENSE
NM
Enumeration date
10/16/2006
Last updated
12/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us