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NPI Code Detail

MEDICARE: CRAIG WILSON PLPC, NCC

MEDICARE: CRAIG WILSON PLPC, NCC
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
1101Y00000XCounselorPLC10866LA

General Provider Information

NPI Number : 1801754064
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG WILSON PLPC, NCC
Provider Business Mailing Address
First Line : 1101 SOUTHEAST BLVD
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-5933
Country : US
Telephone Number : 985-395-6750
Fax Number :
Provider Business Practice Location Address
First Line : 1101 SOUTHEAST BLVD
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-5933
Country : US
Telephone Number : 985-395-6750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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