Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLENN DAVID WILSON, MS,CAC1,ADOA
Active Sole ProprietorMR. GLENN DAVID WILSON, MS,CAC1,ADOA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WATERFORD, Michigan. NPI 1831294297 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WATERFORD, MI
Registration Details
- NPI Number
- 1831294297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.902365668095 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1435 N OAKLAND BLVDWATERFORD, MI, 483271549Browse MI providers · Browse ZIP 48327
- Phone
- 2484060090
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WATERFORD, MI
| Name | Credential | NPI |
|---|---|---|
| MS. ERICA LYNN CLUTE | B.A., FAODP | 1245340678 |
| MISS JESSICA BROOKE PORTER | B.S, FAODP | 1003926098 |
| MR. ROBERT JOHN MCCOMBS | BA, FAODP | 1528170891 |
| MR. JIMMIE LEE LESTER | AAS, CAC1 | 1003927492 |
| MR. BOBBY JOE GIBBS | BA,, FADOP | 1275638496 |
| LYNNE KINGSBURY | LCSW | 1477648970 |
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.