Individual provider · Type 1 NPI
Demetris Wilson
Counselor · Victorville, CA
NPI number
1508174004
Active
Practice location
16460 Victor St
Victorville, CA 92395-3918
Fax (760) 245-8893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other counselor providers in Victorville
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- Trisha JonesCounselor Victorville, CA NPI 1134396740
- Angela DuffeyCounselor Victorville, CA NPI 1134507122
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About NPI 1508174004
Demetris Wilson's National Provider Identifier is 1508174004, issued on Sep 17, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Victorville, CA. The record was last updated on Sep 17, 2010.