Individual provider · Type 1 NPI

Chester Wilson Jr., EDD, CAP, CMHP

Mental Health Counselor · Daytona Beach, FL

NPI number 1023678539 Active

Practice location

240 N Frederick Ave
Daytona Beach, FL 32114-3400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X4318 (FL)
Mental Health Counselor Primary 101YM0800X50334 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1023678539

Chester Wilson Jr., EDD, CAP, CMHP's National Provider Identifier is 1023678539, issued on Jun 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Daytona Beach, FL. The record was last updated on Jun 17, 2019.