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MRS. DEBBIE ANN WILSON ICADC CCS-DP-S NPI 1144499575


NPI Information

NPI: 1144499575
Provider Name: MRS. DEBBIE ANN WILSON, ICADC, CCS-DP-S
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2091 PROFESSIONAL DR
FLINT, MI
ZIP 48532
Phone: (810) 732-1652
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MRS. Debbie Ann Wilson, ICADC, CCS-DP-S is an addiction (substance use disorder) counselor in Flint, MI. MRS. Debbie Ann Wilson, ICADC, CCS-DP-S NPI is 1144499575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2091 PROFESSIONAL DR
FLINT, MI
ZIP 48532-657
Phone: (810) 732-1652
Fax: (810) 732-1735

The enumeration date for this NPI number is 2/29/2008 and was last updated on 1/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1-04055MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17509109640OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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