Individual
FELECIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10800 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4724
(804) 476-2668
Mailing address
10800 MIDLOTHIAN TPKE STE 128, NORTH CHESTERFIELD, VA 23235-4700
(804) 476-2668
(804) 302-4440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701005487
VA
101YP2500X
Professional Counselor
Primary
0701005487
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30016183190003
—
VA
Enumeration date
07/22/2013
Last updated
07/07/2025
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