Wilson, Annette

Wilson, Annette is an individual health care provider with primary practice located at 123 Pike St , Port Jervis NY 12771-1824. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Annette can be contacted via phone (845) 856-7576.

Contact Information

Primary practice address
123 Pike St Port Jervis NY 12771-1824
Phone: (845) 856-7576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37087 New York

Profile Details

NPI number 1417617887
LBN Legal business name Wilson, Annette
Credentials CASAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2021
Last updated Dec 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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