person
Larry Wilson
Addiction (Substance Use Disorder) Counselor in Rockville, Maryland
NPI 1730571696

Larry Wilson is an Addiction (Substance Use Disorder) Counselor based in Rockville, MD and is specialized in Addiction (Substance Use Disorder). Larry Wilson practices in Rockville, MD. The NPI Number for Larry Wilson is 1730571696 and holds a License No. LCA461 (Maryland).

The current practice location address for Larry Wilson is 15719 Crabbs Branch Way, Rockville, MD and can be reached out via phone at 301-670-6161 and via fax at 201-670-6163. You can also correspond with Larry Wilson through the mailing address at 15719 CRABBS BRANCH WAY, ROCKVILLE, MD - 20855-2634 (mailing address contact number: ).

Location: 15719 Crabbs Branch Way, Rockville, MD, 20855-2634
person
Provider Profile Details
NPI Number
1730571696
Provider Name
Larry Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
15719 Crabbs Branch Way, Rockville, MD, 20855-2634
Phone Number
301-670-6161
Fax Number
201-670-6163
Provider Enumeration Date
03/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15719 Crabbs Branch Way
City
State
Zip
20855-2634
Phone Number
301-670-6161
Fax Number
201-670-6163
person
Provider Business Mailing Address Details
Address
15719 Crabbs Branch Way
City
State
Zip
20855-2634
Phone Number
301-670-6161
Fax Number
201-670-6163
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCA461 (Maryland)
Definition
Definition to come...
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