MEDICARE: DENNIS RICHARD WILFRED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	A22691	NC

General Provider Information

NPI Number	:	1821939562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS RICHARD WILFRED

Provider Business Mailing Address
First Line	:	225 CRAYTON OAK DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-2610
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 SW MAYNARD RD STE 200
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-4472
Country	:	US
Telephone Number	:	919-822-8286
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ DENNIS RICHARD WILFRED ” Practice Location

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