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VANDE WILSON NPI 1043543143


NPI Information

NPI: 1043543143
Provider Name: VANDE WILSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
312 COLLEGE ST
SUITE C
CLINTON, NC
ZIP 28328
Phone: (910) 299-0848
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Vande Wilson is a professional counselor in Clinton, NC. Vande Wilson NPI is 1043543143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

312 COLLEGE ST
SUITE C
CLINTON, NC
ZIP 28328-181
Phone: (910) 299-0848

The enumeration date for this NPI number is 9/8/2009 and was last updated on 6/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YA0400XCounselorAddiction (Substance Use Disorder)2064NORTH CAROLINANo
4101YP2500XCounselorProfessional7604NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.