DR. CLARENCE CARL WILSON DBH LPCC NPI 1033496245

NPI Information

  • NPI: 1033496245
  • Provider Name: DR. CLARENCE CARL WILSON, DBH, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 851 S MOUNT VERNON AVE STE 7A
    COLTON, CA
    ZIP 92324
  • Phone: (760) 241-6044

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NPI Details

DR. Clarence Carl Wilson, DBH, LPCC is a mental health counselor in Colton, CA. DR. Clarence Carl Wilson, DBH, LPCC NPI is 1033496245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

851 S MOUNT VERNON AVE STE 7A
COLTON, CA
ZIP 92324-926
Phone: (760) 241-6044
Fax: (760) 820-2704

The NPI 1033496245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/16/2011 and was last updated on 1/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)RA8320316CALIFORNIANo
2101YM0800XCounselorMental Health074006IOWANo
3101YM0800XCounselorMental Health2011031159MISSOURINo
4101YP2500XCounselorProfessional2784CALIFORNIANo
5101YM0800XCounselorMental Health2784CALIFORNIAYes

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: 11/21/2025

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