# MS. CHARLENE WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215094974
- **Gender:** F
- **Credential:** LIMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | 1921 | NE | — |
| 101YP2500X | Professional Counselor | 3878 | NE | — |
| 101YP2500X | Professional Counselor | 960 | NE | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 01/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1921 | PROFESSIONAL COUNSELOR | NE |
| 01 | — | 960 | LICENSE INDEPENDENT MENTAL HEALTH PRACTITIONER | NE |