Individual
GREGORY C WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3329 LADY CATHERINE CIR, TRIANGLE, VA 22172-2331
(540) 670-0035
Mailing address
3329 LADY CATHERINE CIR, TRIANGLE, VA 22172-2331
(540) 670-0035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
07100000782
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710000782
VA
1041C0700X
Clinical Social Worker
Primary
0904005232
VA
Other
Enumeration date
07/25/2007
Last updated
08/02/2025
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