Individual provider · Type 1 NPI

Demetrice Wilson, LCAS-A

Mental Health Counselor · Williamston, NC

NPI number 1700120409 Active

About NPI 1700120409

Demetrice Wilson, LCAS-A's National Provider Identifier is 1700120409, issued on Nov 19, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Williamston, NC. The record was last updated on Nov 19, 2012.