Wilson, Cedric

Wilson, Cedric is an sole proprietor health care provider with primary practice located at 3959 Electric Rd Ste 330 , Roanoke VA 24018-4563. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Cedric can be contacted via phone (540) 339-7674.

Contact Information

Primary practice address
3959 Electric Rd Ste 330 Roanoke VA 24018-4563
Phone: (540) 339-7674
Fax: (540) 685-0994
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701008867 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0701008867 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701008867 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701008867 Virginia

Profile Details

NPI number 1922624154
LBN Legal business name Wilson, Cedric
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2020
Last updated Oct 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922624154 NPPES
Virginia Other 1013502137 NPI2

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