Individual
ANGELA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
15521 MIDLOTHIAN TPKE STE 105, MIDLOTHIAN, VA 23113-7313
(804) 207-6737
Mailing address
15521 MIDLOTHIAN TPKE STE 105, MIDLOTHIAN, VA 23113-7313
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9586
MA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0701012949
VA
Other
Enumeration date
07/26/2010
Last updated
01/14/2026
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