Lawrence Edward Wilson, NACAII, LADACII, Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Memphis, TN

NPI

1902327018

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

LDC0000000344 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-06-28

Last updated

2017-06-28