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NPI Code Detail

MEDICARE: ABIGAIL WILSON

MEDICARE: ABIGAIL WILSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorPA

General Provider Information

NPI Number : 1306771621
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL WILSON
Provider Business Mailing Address
First Line : 1809 HEMLOCK RD
Second Line :
City : LANCASTER
State : PA
Zip : 17603-4437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 N PRINCE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number : 717-560-7917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ ABIGAIL WILSON ” Practice Location

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