Individual
MARIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., M.S. CMHC
Contact information
Practice address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(703) 534-5100
Mailing address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(703) 534-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018440
VA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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