Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANGA WILSON
Active Sole ProprietorSHANGA WILSON is a Addiction (Substance Use Disorder) Counselor healthcare provider located in JACKSONVILLE, Florida. NPI 1063957801 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1063957801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2017 (9.5887365862282 yrs)
- Last Updated
- Jan 4, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
590 ELLIS RD SJACKSONVILLE, FL, 322543555Browse FL providers · Browse ZIP 32254
- Phone
- 9048002231
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA GAIL SAMPSON | M.S., CAPP | 1851317374 |
| BECKY MENDEZ | — | 1245365501 |
| KENNETH L WALTERS | — | 1174658595 |
| ANGELA DENISE BARNES | — | 1316072655 |
| CAROL SCOTT | — | 1952436362 |
| DIONNE CALLOWAY | — | 1194850438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.