Organization · Type 2 NPI
Cedric Wilson, Lpc, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Roanoke, VA
NPI number
1013502137
Active
Practice location
3048 Brambleton Ave SW
Roanoke, VA 24015-4404
Fax (540) 685-0994
Mailing address
2907 Oak Crest Ave SW
Roanoke, VA 24015-4609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1013502137
Cedric Wilson, Lpc, LLC's National Provider Identifier is 1013502137, issued on Mar 2, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Roanoke, VA. The record was last updated on Mar 2, 2021.