Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Johnnie Lefuel Wilson IV, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770041592

Mr. Johnnie Lefuel Wilson IV, LCASA is an Addiction (Substance Use Disorder) Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

6307 Melody Ln
Fayetteville, NC 28304-5554
Phone: (910) 627-7210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A25300 (NC)

Record details

NPI number1770041592
Entity typeIndividual (Type 1)
GenderMale
Credentials LCASA
Sole proprietorYes
NPI enumeratedMarch 11, 2019
Last updated in NPPESMarch 11, 2019

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