Individual provider · Type 1 NPI

Devetta Shaunta Wilson, LCPC

Professional Counselor · Elkridge, MD

NPI number 1033877618 Active

Practice location

6030 Marshalee Dr Ste M114
Elkridge, MD 21075-5987

Call (443) 591-0202 Map

Mailing address

414 Howard Manor Dr
Glen Burnie, MD 21060-8260

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC14542 (MD)

Professional Counselor: Definition to come...

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About NPI 1033877618

Devetta Shaunta Wilson, LCPC's National Provider Identifier is 1033877618, issued on Dec 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elkridge, MD. The record was last updated on Mar 19, 2024.