Organization
EVERGREEN WELLNESS JOURNEYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE WILSON NBCHWC (CEO)
(240) 844-1050
Entity
Organization
Contact information
Practice address
5000 THAYER CENTER STE C, OAKLAND, MD 21550
(240) 844-1050
Mailing address
16501 SHADY GROVE RD UNIT 7082, GAITHERSBURG, MD 20898-6503
(240) 844-1050
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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