MR. Robert A Wilson, LPC

NPI #1154754828 in Morgantown, West Virginia

Provider Information

NPI Number: 1154754828
Entity Type: Individual
Name: MR. Robert A Wilson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 16, 2013
Last Updated: Aug 16, 2013

Practice Location

Address: 40 COMMERCE DR
Address 2: STE B
City: Morgantown
State: West Virginia
ZIP Code: 26501-3874
Phone: (304) 241-1708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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