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Cedric Wilson
Mental Health Counselor in Roanoke, Virginia
NPI 1922624154

Cedric Wilson is a Mental Health Counselor based in Roanoke, VA and is specialized in Mental Health. Cedric Wilson practices in Roanoke, VA. The NPI Number for Cedric Wilson is 1922624154 and holds a License No. 0701008867 (Virginia).

The current practice location address for Cedric Wilson is 3959 Electric Rd Ste 330, Roanoke, VA and can be reached out via phone at 540-339-7674 and via fax at 540-685-0994.

Location: 3959 Electric Rd Ste 330, Roanoke, VA, 24015-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922624154
Provider Name
Cedric Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
3959 Electric Rd Ste 330, Roanoke, VA, 24015-4609
Phone Number
540-339-7674
Fax Number
540-685-0994
Provider Enumeration Date
06/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013502137 01 VA NPI2
institution
Provider Business Practice Location Address Details
Address
3959 Electric Rd Ste 330
City
Roanoke
State
Virginia
Zip
24018-4563
Phone Number
540-339-7674
Fax Number
540-685-0994
person
Provider Business Mailing Address Details
Address
3959 Electric Rd Ste 330
City
Roanoke
State
Virginia
Zip
24018-4563
Phone Number
540-339-7674
Fax Number
540-685-0994
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0701008867 (Virginia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0701008867 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701008867 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701008867 (Virginia)
Definition
Definition to come...
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