Organization
MICHALOSKI WILSON & ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J. WILSON BLA, MS, NCC, LCPC (VICE PRESIDENT/PSYCHOTHERAPIST)
(410) 882-0470
Entity
Organization
Contact information
Practice address
204 E. JOPPA RD, SUITE LL8, TOWSON, MD 21286
(410) 882-0470
Mailing address
8815 ALNWICK RD, BALTO, MD 21234
(410) 882-7820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
46804
NC
101YP2500X
Professional Counselor
Primary
LC0034
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL09M1
BLUE CROSS/SHIELD OF MD
MD
Enumeration date
09/17/2008
Last updated
09/17/2008
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