person
Wayne Douglas Wilson, DMIN
Professional Counselor in Statesville, North Carolina
NPI 1720116791

Wayne Douglas Wilson is a Professional Counselor based in Statesville, NC and is specialized in Professional. Wayne Douglas Wilson practices in Statesville, NC and has the professional credentials of DMIN. The NPI Number for Wayne Douglas Wilson is 1720116791 and holds a License No. 3158 (North Carolina).

The current practice location address for Wayne Douglas Wilson is 351 Turnersburg Hwy, Statesville, NC and can be reached out via phone at 704-871-1712 and via fax at 704-871-9354. You can also correspond with Wayne Douglas Wilson through the mailing address at PO BOX 184, STATESVILLE, NC - 28687-0184 (mailing address contact number: 704-871-1712).

Location: 351 Turnersburg Hwy, Statesville, NC, 28687-0184
person
Provider Profile Details
NPI Number
1720116791
Provider Name
Wayne Douglas Wilson
Credential
DMIN
Provider Entity Type
Individual
Gender
Male
Address
351 Turnersburg Hwy, Statesville, NC, 28687-0184
Phone Number
704-871-1712
Fax Number
704-871-9354
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
88903 01 NC MEDCOST
1163N 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
351 Turnersburg Hwy
City
State
Zip
28625-2798
Phone Number
704-871-1712
Fax Number
704-871-9354
person
Provider Business Mailing Address Details
Address
Po Box 184
City
State
Zip
28687-0184
Phone Number
704-871-1712
Fax Number
704-871-9354
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3158 (North Carolina)
Definition
Definition to come...
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