Individual
CEDRIC LEE WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
116 POND PINE DR, PLYMOUTH, NC 27962-9520
(252) 661-3110
Mailing address
116 POND PINE DR, PLYMOUTH, NC 27962-9520
(252) 661-3110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-26854
NC
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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