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

Mr. Michael Tyler Wilson, ADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821749565

Mr. Michael Tyler Wilson, ADT is an Addiction (Substance Use Disorder) Counselor in Elkton, Maryland. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

212 Blue Ball Ave
Elkton, MD 21921-5222
Phone: (410) 620-6077
Fax: (410) 620-6081
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 (MD)

Record details

NPI number1821749565
Entity typeIndividual (Type 1)
GenderMale
Credentials ADT
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

Other providers in Elkton