| Cedric Wilson, Lpc, Llc | |
|
3048 Brambleton Ave Sw Roanoke VA 24015-4404 | |
| (540) 339-7674 | |
| (540) 685-0994 |
| Full Name | Cedric Wilson, Lpc, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3048 Brambleton Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Cedric Wilson (CEO & THERAPIST) |
| Authorized Official Contact | 5403397674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedric Wilson, Lpc, Llc 2907 Oak Crest Ave Sw Roanoke VA 24015-4609 Ph: (443) 604-5945 | Cedric Wilson, Lpc, Llc 3048 Brambleton Ave Sw Roanoke VA 24015-4404 Ph: (540) 339-7674 |
| NPI Number | 1013502137 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013502137 | NPI | - | NPPES |
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