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

MS. Annette Wilson, CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417617887

MS. Annette Wilson, CASAC-T is an Addiction (Substance Use Disorder) Counselor in Port Jervis, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

123 Pike St
Port Jervis, NY 12771-1824
Phone: (845) 856-7576
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 37087 (NY)

Record details

NPI number1417617887
Entity typeIndividual (Type 1)
GenderFemale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

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