IndividualActive
Angell Wilson
NPI 1801518519 · Addiction (Substance Use Disorder) Counselor · Fairbanks, AK
Provider details
- NPI number
- 1801518519
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
542 4th Ave Ste B101
Fairbanks, AK 99701-4707
Phone: (907) 374-1097
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 73004
Fairbanks, AK 99707-3004
Registry dates
- Enumerated
- 2022-09-19
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.