Organization
BEACON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ALBICKER WILSON LPC (OWNER/THERAPIST)
(804) 495-1301
Entity
Organization
Contact information
Practice address
1519 HUGUENOT RD STE 203, MIDLOTHIAN, VA 23113-2472
(804) 495-1301
(804) 302-6431
Mailing address
1519 HUGUENOT RD STE 203, MIDLOTHIAN, VA 23113-2472
(804) 495-1301
(804) 302-6431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629442967
—
VA
Enumeration date
01/23/2020
Last updated
06/05/2021
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