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

Mr. Shannon Thadio Wilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184172330

Mr. Shannon Thadio Wilson is an Addiction (Substance Use Disorder) Counselor in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.

Licensed in
LA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3600 Government St
Alexandria, LA 71302-3324
Phone: (318) 441-1105
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 4210 (LA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1184172330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2016
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

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