Individual provider · Type 1 NPI

Anna Charlene Wilson

Mental Health Counselor · Portland, OR

NPI number 1194019802 Active

Practice location

10313 SW 69th Ave
Portland, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194019802

Anna Charlene Wilson's National Provider Identifier is 1194019802, issued on May 31, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 31, 2011.