Individual
DANIEL H. WILEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2200 SILAS CREEK PKWY, SUITE 1-A, WINSTON SALEM, NC 27103-5000
(336) 722-7300
(336) 722-7311
Mailing address
2200 SILAS CREEK PKWY, SUITE 1-A, WINSTON SALEM, NC 27103-5000
(336) 722-7300
(336) 722-7311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294K
BCBSNC GROUP
NC
05
—
890294K
—
NC
Enumeration date
04/02/2007
Last updated
07/31/2019
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