Provider Demographics
NPI:1386416576
Name:WILSON, AARON JUSTIN (LCSWA)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JUSTIN
Last Name:WILSON
Suffix:
Gender:M
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4108
Mailing Address - Country:US
Mailing Address - Phone:828-273-1100
Mailing Address - Fax:
Practice Address - Street 1:128 INDIANA AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-4108
Practice Address - Country:US
Practice Address - Phone:828-273-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0185111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical