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

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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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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.