Individual
MCDERMOTT WILTON CONNOR
Active
Individual
MCDERMOTT WILTON CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCMHCA, LCASA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25057
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
A14619
NC
Other
Enumeration date
02/20/2019
Last updated
04/14/2022
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