JOHNNIE LEFUEL WILSON

FAYETTEVILLE, NC
NPI1770041592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC  A25300)
Enumeration Date2019-03-11
Last Update Date2019-03-11
Business Address
MR. JOHNNIE LEFUEL WILSON LCASA
6307 MELODY LN
FAYETTEVILLE, NC 28304-5554
Phone number: 910-627-7210
Mailing Address
MR. JOHNNIE LEFUEL WILSON LCASA
6307 MELODY LN
FAYETTEVILLE, NC 28304-5554
Phone number: 910-627-7210