Mr Wilbert Sinclair Nicholson Jr, CSCA is a
Counselor - Addiction (substance Use Disorder) based in Jackson, North Carolina. Mr Wilbert Sinclair Nicholson Jr is licensed to practice in North Carolina (license number CSAC-22055) and his current practice location is
10174 Nc Highway 305, Jackson, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 384-6033.
NPI number for Mr Wilbert Sinclair Nicholson Jr is 1699148205 and his current mailing address is 10174 Nc Highway 305, Jackson, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699148205.
Healthcare Provider's Profile
Full Name | Mr Wilbert Sinclair Nicholson Jr |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 10174 Nc Highway 305, Jackson, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699148205
- Provider Enumeration Date: 11/04/2015
- Last Update Date: 11/04/2015
Medical Identifiers
Medical identifiers for Mr Wilbert Sinclair Nicholson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699148205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CSAC-22055 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Wilbert Sinclair Nicholson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Wilbert Sinclair Nicholson Jr, CSCA 10174 Nc Highway 305, Jackson, NC 27845-9685 Ph: (919) 384-6033 | Mr Wilbert Sinclair Nicholson Jr, CSCA 10174 Nc Highway 305, Jackson, NC 27845-9685 Ph: (919) 384-6033 |
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