BRIAN WILSON

CLAYTON, NC
NPI1073200804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  29433)
Enumeration Date2023-04-21
Last Update Date2023-04-21
Business Address
MR. BRIAN WILSON BS, CADC-R
1699 OLD US 70 HWY W
CLAYTON, NC 27520-6566
Phone number: 919-359-1699
Mailing Address
MR. BRIAN WILSON BS, CADC-R
212 TAVISTOCK CT
CLAYTON, NC 27520-2184
Phone number: