Mr Shannon Thadio Wilson, - Counselor in Alexandria, LA

Mr Shannon Thadio Wilson, is a Counselor - Addiction (substance Use Disorder) based in Alexandria, Louisiana. Mr Shannon Thadio Wilson is licensed to practice in Louisiana (license number 4210) and his current practice location is 3600 Government St, Alexandria, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 441-1105.

NPI number for Mr Shannon Thadio Wilson is 1184172330 and his current mailing address is 3600 Government St, Alexandria, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184172330.

Contact Information

Mr Shannon Thadio Wilson,
3600 Government St,
Alexandria, LA 71302-3324
(318) 441-1105
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Shannon Thadio Wilson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3600 Government St, Alexandria, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184172330
  • Provider Enumeration Date: 09/16/2016
  • Last Update Date: 12/29/2022

Medical Identifiers

Medical identifiers for Mr Shannon Thadio Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184172330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 4210 (Louisiana)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 Shannon Thadio Wilson 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 AddressPractice Location Address
Mr Shannon Thadio Wilson,
3600 Government St,
Alexandria, LA 71302-3324

Ph: (318) 441-1105
Mr Shannon Thadio Wilson,
3600 Government St,
Alexandria, LA 71302-3324

Ph: (318) 441-1105

Reviews and Comments


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