Individual
DAVID DESCARTES WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 898-4859
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
$$$$$$$$$
SC
101YM0800X
Mental Health Counselor
24023359
SC
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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