VANDE WILSON NPI 1043543143

NPI Information

  • NPI: 1043543143
  • Provider Name: VANDE WILSON
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 312 COLLEGE ST
    SUITE C
    CLINTON, NC
    ZIP 28328
  • Phone: (910) 299-0848

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NPI Details

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 NPI 1043543143 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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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