Individual
DR. FREDERICK L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 23320-2519
(757) 937-3969
(757) 548-1928
Mailing address
2117 SMITH AVE, SUITE B, CHESAPEAKE, VA 23320-2519
(757) 937-3969
(757) 548-1928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005950
VA
101YM0800X
Mental Health Counselor
6644
NC
101YP2500X
Professional Counselor
0701005950
VA
103T00000X
Psychologist
Primary
0701005950
VA
Other
Enumeration date
07/02/2007
Last updated
07/15/2025
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