Individual
ELISHEBA VIVIANNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3818 EUROPE LN, BOWIE, MD 20716-7331
(240) 758-8953
Mailing address
3818 EUROPE LN, BOWIE, MD 20716-7331
(240) 758-8953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
MD
1041C0700X
Clinical Social Worker
Primary
1041C0700X
MD
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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