Organization
TERESA S. WILSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA SHARLENE WILSON LPC, LMFT (OWNER)
(410) 227-7191
Entity
Organization
Contact information
Practice address
1050 17TH ST NW, SUITE 1000, WASHINGTON, DC 20036-5503
(410) 227-7191
Mailing address
21 N ROLLING RD, CATONSVILLE, MD 21228-4849
(410) 227-7191
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
LMFT000138
DC
251S00000X
Community/Behavioral Health Agency
Primary
PRC14103
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437450988
NPI TYPE 1
—
Enumeration date
06/23/2011
Last updated
06/23/2011
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