NICHOLAS FREDERICK WILSON

JAMAICA, NY
NPI1306211792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  20345)
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
Mr. NICHOLAS FREDERICK WILSON BSW,CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500
Mailing Address
Mr. NICHOLAS FREDERICK WILSON BSW,CASAC
11630 SUTPHIN BLVD
JAMAICA, NY 11434-1527
Phone number: 718-322-2500