Individual provider · Type 1 NPI

Clarence Carl Wilson, DBH, LPCC

Mental Health Counselor · Colton, CA

NPI number 1033496245 Active

Practice location

851 S Mount Vernon Ave Ste 7A
Colton, CA 92324-3926

Call (760) 241-6044 Map

Fax (760) 820-2704

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XRA8320316 (CA)
Mental Health Counselor 101YM0800X074006 (IA)
Mental Health Counselor 101YM0800X2011031159 (MO)
Professional Counselor 101YP2500X2784 (CA)
Mental Health Counselor Primary 101YM0800X2784 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1033496245

Clarence Carl Wilson, DBH, LPCC's National Provider Identifier is 1033496245, issued on Nov 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colton, CA. The record was last updated on Jan 11, 2024.