CHARLIE WILSON JR.

Counselor - Professional

Active Individual
NPI: 1538635115

Practice Address

164 WACCAMAW MEDICAL PARK DR
Conway, SC 29526

Phone: (843) 347-5060

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 8742 (SC)
Counselor - Mental Health 101YM0800X No -

Frequently Asked Questions

NPI 1538635115 is the National Provider Identifier for CHARLIE WILSON JR., a Counselor - Professional provider located in Conway, SC. This NPI was enumerated on October 22, 2018.
CHARLIE WILSON JR. practices at 164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526.

Quick Facts

NPI
1538635115
Type
Individual
Enumerated
Oct 22, 2018
Last Updated
Oct 10, 2024

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