National Provider Identifier
Carmen Marie Wilson
Carmen Marie Wilson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Moorhead, MN and a listed phone number of (507) 720-7775.
Source: public NPPES record, last updated February 23, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1740874536
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- February 23, 2021
- Last Updated
- February 23, 2021
Practice Location
- 725 Center Ave
- Moorhead, MN 56560-1958
Phone: (507) 720-7775
Mailing Address
- PO Box 128
- Pillager, MN 56473-0128
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
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Biography
Carmen Wilson is a Moorhead-based addiction counselor with additional Minnesota licensure as a registered nurse, a dual background reflected in her CMS provider record. Her public profile is limited, but the available record supports a focused practice background in substance-use counseling rather than a broader general-care role.
Full Record
- NPI
- 1740874536
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Carmen
- Middle Name
- Marie
- Mailing Street Address
- PO Box 128
- Mailing City
- Pillager
- Mailing State
- MN
- Mailing ZIP Code
- 56473-0128
- Mailing Country
- US
- Mailing Phone
- (507) 720-7775
- Practice Street Address
- 725 Center Ave
- Practice City
- Moorhead
- Practice State
- MN
- Practice ZIP Code
- 56560-1958
- Practice Country
- US
- Practice Phone
- (507) 720-7775
- Practice Fax
- (218) 287-1267
- Enumeration Date
- February 23, 2021
- Last Updated
- February 23, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 23, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
- Other Identifiers
- 1444799 (MN, Mn Dhs)