Individual
MR. ROBERT A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
40 COMMERCE DR, STE B, MORGANTOWN, WV 26501-3874
(304) 241-1708
(304) 391-2054
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
(304) 623-2989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
2044
WV
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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