Individual provider · Type 1 NPI

Charles H. Wilson Iv, LMHP-R

Counselor · Upper Marlboro, MD

NPI number 1992387534 Active

Practice location

13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088

Call (301) 358-0192 Map

Mailing address

9355 Tartan View Dr
Fairfax, VA 22032-1207

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X0704013703 (VA)

Counselor: 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.

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About NPI 1992387534

Charles H. Wilson Iv, LMHP-R's National Provider Identifier is 1992387534, issued on Apr 23, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Apr 23, 2021.