Individual provider · Type 1 NPI

Cedric Wilson

Mental Health Counselor · Roanoke, VA

NPI number 1922624154 Active

Practice location

3959 Electric Rd Ste 330
Roanoke, VA 24018-4563

Call (540) 339-7674 Map

Fax (540) 685-0994

Mailing address

2907 Oak Crest Ave SW
Roanoke, VA 24015-4609

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0701008867 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X0701008867 (VA)
Professional Counselor 101YP2500X0701008867 (VA)
Mental Health Counselor Primary 101YM0800X0701008867 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1922624154

Cedric Wilson's National Provider Identifier is 1922624154, issued on Jun 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roanoke, VA. The record was last updated on Oct 5, 2023.