NPI Profile for LILLIAN C WILSON in TUSCALOOSA, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Professional |
101YP2500X |
| NPI # | 1699045260 |
|
| Status | Active | |
| Credentials | MA, LPC, NCC, MAC | |
| Entity | Individual | |
| Enumeration date | 01/12/2012 | |
| Last updated | 01/12/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LILLIAN C WILSON
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