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DEMETRIS WILSON
NPI 1508174004
Counselor in Victorville, CA

Active since September 17, 2010
16460 VICTOR ST, VICTORVILLE, CA 92395(760) 245-8837(760) 245-8893 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetris Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIS WILSON (NPI 1508174004) is an individual counselor in Victorville, California and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1508174004
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEMETRIS WILSON
Location Address16460 VICTOR STVictorville, CA 92395-3918
Mailing Address16460 Victor StVictorville, CA 92395-3918 · (760) 245-8837 · Fax (760) 245-8893
Phone(760) 245-8837
Fax(760) 245-8893
Sole ProprietorNo
Enumeration DateSeptember 17, 2010
✔ NPI 1508174004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
16460 VICTOR ST, Victorville, CA 92395
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD BURGAMY
Counselor (Mental Health)
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
ILANA ANDERSON
Counselor (Mental Health)
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
ARTHUR LOPEZ LVN
Licensed Vocational Nurse
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
LINDA SILVA
Counselor (Mental Health)
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
LANNETTE HAUCK
Counselor
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
SANDRA KOPP RN
Registered Nurse
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
HERMAN FUQUA
Counselor (Mental Health)
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837
TANYA MARTIN LVN
Registered Nurse (School)
16460 VICTOR ST
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetris Wilson's NPI number?

The NPI number for Demetris Wilson is 1508174004. It was assigned to this individual provider in the NPPES registry on September 17, 2010.

Where is Demetris Wilson located?

Demetris Wilson practices at 16460 Victor St, Victorville, CA 92395. The listed phone number is (760) 245-8837.

What is Demetris Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Demetris Wilson was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.