Individual provider · Type 1 NPI

Ernest Daniel Wilson

Mental Health Counselor · Columbia, SC

NPI number 1710026729 Active

Practice location

1800 Colonial Dr, Impact
Columbia, SC 29203-6827

Fax (803) 898-2194

Mailing address

211 Stucawa Dr
Columbia, SC 29210-6516

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710026729

Ernest Daniel Wilson's National Provider Identifier is 1710026729, issued on Feb 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.