Deitra Wilson
Deitra Wilson is a Mental Health Counselor in Beachwood, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2025
Practice location Address checks out
24100 Chargin Blvd Ste 250Beachwood, OH 44122
Phone: (440) 343-8069
Fax: (440) 264-1990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence C.2406416-TRNE (OH) |
|---|
Record details
| NPI number | 1700697919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2025 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 14, 2025 |
| Mailing address | 24100 Chargin Blvd, Suite 250, Beachwood, OH 44122 |
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