IndividualActive
Angela Wilson, CCAC II
NPI 1306656285 · Addiction (Substance Use Disorder) Counselor · Atlanta, GA
Provider details
- NPI number
- 1306656285
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CCAC II
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Practice location
5680 Fulton Industrial Blvd Sw
Atlanta, GA 30336-2659
Phone: (404) 484-9640
Approximate (ZIP-level) locationGet directions
Mailing address
7263 Bluestone Dr
Riverdale, GA 30296-1513
Additional practice locations (1)
- 7263 Bluestone DrRiverdale, GA 30296-1513Phone: (404) 484-9640
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.