Individual provider · Type 1 NPI

Deonte Mikel Wilson

Counselor · Portland, OR

NPI number 1992697700 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

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 1992697700

Deonte Mikel Wilson's National Provider Identifier is 1992697700, issued on Jul 16, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 16, 2025.