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

Mr. Willie J Wilson Jr., CAC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245806439

Mr. Willie J Wilson Jr., CAC-AD is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

3111 Clifton Ave
Baltimore, MD 21216-2734
Phone: (443) 271-2874
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 AC-1150 (MD)

Record details

NPI number1245806439
Entity typeIndividual (Type 1)
GenderMale
Credentials CAC-AD
Sole proprietorYes
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021

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