Wilson, Chester

Wilson, Chester is an individual health care provider with primary practice located at 240 N Frederick Ave , Daytona Beach FL 32114-3400. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wilson, Chester can be contacted via phone (386) 675-0098.

Contact Information

Primary practice address
240 N Frederick Ave Daytona Beach FL 32114-3400
Phone: (386) 675-0098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4318 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 50334 Florida

Profile Details

NPI number 1023678539
LBN Legal business name Wilson, Chester
Credentials EDD, CAP, CMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023678539 NPPES
Florida Other 4318 CERTIFIED ADDICTION PROFESSIONAL
Florida Other 50334 CERTIFIED ADDICTION PROFESSIONAL

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