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Mr. Charles H Wilson IV, LMHP-R
Counselor in Upper Marlboro, Maryland
NPI 1992387534

Charles H Wilson IV is a Counselor based in Fairfax, MD. Charles H Wilson IV practices in Upper Marlboro, MD and has the professional credentials of LMHP-R. The NPI Number for Charles H Wilson IV is 1992387534 and holds a License No. 0704013703 (Maryland).

The current practice location address for Charles H Wilson IV is 13400 Edgemeade Rd, Upper Marlboro, MD and can be reached out via phone at 301-358-0192. You can also correspond with Charles H Wilson IV through the mailing address at 9355 TARTAN VIEW DR, FAIRFAX, VA - 22032-1207 (mailing address contact number: 571-346-9437).

Location: 13400 Edgemeade Rd, Upper Marlboro, MD, 22032-1207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992387534
Provider Name
Charles H Wilson IV
Credential
LMHP-R
Provider Entity Type
Individual
Gender
Male
Address
13400 Edgemeade Rd, Upper Marlboro, MD, 22032-1207
Phone Number
301-358-0192
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13400 Edgemeade Rd
City
Upper Marlboro
State
Maryland
Zip
20772-8088
Phone Number
301-358-0192
Fax Number
person
Provider Business Mailing Address Details
Address
13400 Edgemeade Rd
City
Upper Marlboro
State
Maryland
Zip
20772-8088
Phone Number
301-358-0192
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0704013703 (Virginia)
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.
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