Frazier Clethon Wilson JR. LISW, LADAC

  • NPI 1972683894
According to our database, the NPI number for Frazier Clethon Wilson JR. LISW, LADAC is 1972683894 and activated since 17 years ago. Frazier Clethon Wilson JR. LISW, LADAC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 2418 Miles Rd Se, Albuquerque, NM 87106. You can also contact Frazier Clethon Wilson JR. LISW, LADAC via telephone number is (505) 974-7602. Provider NPI information was last updated on 12/07/2009.

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Overview of Frazier Clethon Wilson JR. LISW, LADAC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/16/2006
  • Last updated: 12/07/2009

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0093531
  • License State: NM

Provider Mailing Address

  • Address: 2418 Miles Rd Se
    Albuquerque, NM 87106
  • Phone: 505-974-7602
  • Fax: 505-842-1503

Provider Practice Location

  • Address: 2418 Miles Rd Se
    Albuquerque, NM 87106
  • Phone: 505-974-7602
  • Fax: 505-842-1503

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 0093531
  • License State: NM
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 0093531
  • Identifier Type: Other
  • Identifier State: NM
  • Issuer: LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Frazier Clethon Wilson JR. LISW, LADAC?
  • A: The npi number for Frazier Clethon Wilson JR. LISW, LADAC is 1972683894.
  • Q: What are Frazier Clethon Wilson JR. LISW, LADAC's specialties?
  • A: Frazier Clethon Wilson JR. LISW, LADAC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Frazier Clethon Wilson JR. LISW, LADAC?
  • A: The medical license number for Frazier Clethon Wilson JR. LISW, LADAC is 0093531 and issued in NM in USA.
  • Q: Where is Frazier Clethon Wilson JR. LISW, LADAC practice location?
  • A: Frazier Clethon Wilson JR. LISW, LADAC is practicing at 2418 Miles Rd Se, Albuquerque, NM 87106.
  • Q: How to contact Frazier Clethon Wilson JR. LISW, LADAC?
  • A: You can contact Frazier Clethon Wilson JR. LISW, LADAC via 505-974-7602.
Medicare Specialty
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Addiction Medicine
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