Individual
MR. CLIFFORD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
(704) 200-9829
Mailing address
122 GATEWAY BLVD STE C, MOORESVILLE, NC 28117-5544
(704) 360-3637
(704) 200-9829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6847
NC
Other
Enumeration date
04/30/2008
Last updated
01/16/2024
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