MS. ANNETTE WILSON CASAC-T
NPI 1417617887
Counselor - Addiction (Substance Use Disorder) in Port Jervis, NY

Active since December 27, 2021
123 PIKE ST, PORT JERVIS, NY 12771(845) 856-7576 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About ANNETTE WILSON

This page provides the complete NPI Profile along with additional information for Annette Wilson, a provider established in Port Jervis, New York with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1417617887 assigned on December 2021. The practitioner's primary taxonomy code is 101YA0400X with license number 37087 (NY). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1417617887 Verify this NPI
Provider Name
MS. ANNETTE WILSON CASAC-T
Gender
Female
Entity Type
Individual
Location Address
123 PIKE ST PORT JERVIS, NY 12771
Location Phone
(845) 856-7576
Mailing Address
123 PIKE ST PORT JERVIS, NY 12771
Mailing Phone
(845) 856-7576
Is Sole Proprietor?
No
Enumeration Date
12-27-2021
Last Update Date
12-27-2021
Code Navigator

A Substance Abuse or Addiction Counselor like Annette Wilson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
37087
License State
NY

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Ophthalmology
123 PIKE ST, SUITE 201
PORT JERVIS, NY 12771
Internal Medicine (Pulmonary Disease)
123 PIKE ST, SUITE 207
PORT JERVIS, NY 12771
Pediatrics
123 PIKE ST, SUITE 209
PORT JERVIS, NY 12771
Pediatrics
123 PIKE ST, SUITE 209
PORT JERVIS, NY 12771
Ophthalmology
123 PIKE ST
PORT JERVIS, NY 12771
Dentist (Periodontics)
123 PIKE ST
PORT JERVIS, NY 12771
Hearing Aid Equipment
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Mental Health)
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771
Internal Medicine
123 PIKE ST, SUITE 207
PORT JERVIS, NY 12771
Counselor (Addiction (Substance Use Disorder))
123 PIKE ST
PORT JERVIS, NY 12771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417617887, enumerated as an "individual" on December 27, 2021.

The provider is located at 123 PIKE ST PORT JERVIS, NY 12771 and the phone number is (845) 856-7576.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).