Ivory Wilson, MA, LAC, CCDP-D
Ivory Wilson, MA, LAC, CCDP-D is an Addiction (Substance Use Disorder) Counselor in Baton Rouge, Louisiana. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
Practice location Address checks out
440 N Foster Dr Fl 2Baton Rouge, LA 70806-3561
Phone: (225) 283-1447
Fax: (844) 947-4494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1861248866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MA , LAC , CCDP-D |
| Sole proprietor | No |
| NPI enumerated | April 29, 2024 |
| Last updated in NPPES | April 29, 2024 |
| Certification date | April 29, 2024 |
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