Wilson, Ebony N

Wilson, Ebony N is an sole proprietor health care provider with primary practice located at 65 Highfield Dr , Torrington CT 06790-5826. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wilson, Ebony N can be contacted via phone (860) 626-5002.

Contact Information

Primary practice address
65 Highfield Dr Torrington CT 06790-5826
Phone: (860) 626-5002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1267 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4405 Connecticut

Profile Details

NPI number 1023536463
LBN Legal business name Wilson, Ebony N
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2017
Last updated Feb 2nd, 2021 - about 4 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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