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Dr. Chester Wilson JR., EDD,CAP,CMHP
Mental Health Counselor in Daytona Beach, Florida
NPI 1023678539

Chester Wilson JR. is a Mental Health Counselor based in Daytona Beach, FL and is specialized in Mental Health. Chester Wilson JR. practices in Daytona Beach, FL and has the professional credentials of EDD,CAP,CMHP. The NPI Number for Chester Wilson JR. is 1023678539 and holds a License No. 4318 (Florida).

The current practice location address for Chester Wilson JR. is 240 N Frederick Ave, Daytona Beach, FL and can be reached out via phone at 386-675-0098.

Location: 240 N Frederick Ave, Daytona Beach, FL, 32114-3400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023678539
Provider Name
Chester Wilson JR.
Credential
EDD,CAP,CMHP
Provider Entity Type
Individual
Gender
Male
Address
240 N Frederick Ave, Daytona Beach, FL, 32114-3400
Phone Number
386-675-0098
Fax Number
Provider Enumeration Date
06/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4318 01 FL CERTIFIED ADDICTION PROFESSIONAL
50334 01 FL CERTIFIED MENTAL HEALTH PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
240 N Frederick Ave
City
Daytona Beach
State
Florida
Zip
32114-3400
Phone Number
386-675-0098
Fax Number
person
Provider Business Mailing Address Details
Address
240 N Frederick Ave
City
Daytona Beach
State
Florida
Zip
32114-3400
Phone Number
386-675-0098
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
50334 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4318 (Florida)
Definition
Definition to come...
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